Individual provider Active NPI

Carina Louise Palmer, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1922710110
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW Issued in NM
Practice address
8417 Washington PL NE Ste B
Albuquerque, NM 87113-1720
Phone
(505) 507-4408
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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 LCSW NM Primary

Addresses

Primary practice location

8417 Washington PL NE Ste B
Albuquerque, NM 87113-1720

Mailing address

2135 Violeta Cir SE
Rio Rancho, NM 87124-2584
Phone (505) 228-4373

Other identifiers 1

IdentifierTypeStateIssuer
1033458088MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSWNMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Vista Counseling Clinical CurrentSince Nov 17, 2024 Accepting new patients

Locations

8417 Washington Pl NE
Ste B
Albuquerque, NM 87113
Phone (505) 221-6822

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": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1922710110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 VIOLETA CIR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242584",
            "telephone_number": "505-228-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8417 WASHINGTON PL NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131720",
            "telephone_number": "505-507-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "CARINA",
        "middle_name": "LOUISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "LCSW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033458088",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.