Individual provider Active NPI

Maria Drake

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1932370137
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-07350 Issued in NM
Practice address
3115 Silver Ave SE
Albuquerque, NM 87106-2207
Phone
(505) 506-0427
NPI assigned
Mar 14, 2008
Last updated
Mar 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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 I-07350 NM Primary

Addresses

Primary practice location

3115 Silver Ave SE
Albuquerque, NM 87106-2207

Mailing address

7604 Calle Armonia NE
Albuquerque, NM 87113-2368
Phone (505) 506-0427

Other names 1

  • Maria Drake Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2424 Juan Tabo Blvd NE
Albuquerque, NM 87112-1818

P O Box
Suite 94508
Albuquerque, NM 87199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-07350NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valencia Counseling Service Inc Past Accepting new patients
Maria B. Drake, Lisw, LLC Clinical Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1932370137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7604 CALLE ARMONIA NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132368",
            "telephone_number": "505-506-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 SILVER AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062207",
            "telephone_number": "505-506-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-07350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "DRAKE",
            "credential": "LISW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.