Individual provider Active NPI

Roberto Caze, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1922478031
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-11567 Issued in NM
Practice address
10110 Spain Rd NE
Albuquerque, NM 87111-1965
Phone
(505) 404-9395
Fax
(505) 299-4740
NPI assigned
Oct 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-11567 NM Primary

Addresses

Primary practice location

10110 Spain Rd NE
Albuquerque, NM 87111-1965

Mailing address

10110 Spain Rd NE
Albuquerque, NM 87111-1965
Phone (505) 404-9395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231229002726 NM Practitioner - Clinical Social Worker 0446600621 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychological Services of New Mexico, LLC CurrentSince Nov 4, 2023 Accepting new patients

Locations

10110 Spain Rd NE
Albuquerque, NM 87111
Phone (505) 294-5065

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1922478031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 SPAIN RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111965",
            "telephone_number": "505-404-9395",
            "fax_number": "505-299-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 SPAIN RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111965",
            "telephone_number": "505-404-9395",
            "fax_number": "505-299-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAZE",
        "first_name": "ROBERTO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-01",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-11567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.