NPIMap

Organization Active NPI

Clinical Rituals LLC

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1942941794
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CLINICAL RITUALS LLC
Practice address
1405 San Carlos Rd SW Apt 7
Albuquerque, NM 87104-1060
Phone
(505) 257-6868
NPI assigned
Apr 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Milena SudakNPI 1164764304
Title
LCSW
Phone
(720) 495-2346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1405 San Carlos Rd SW Apt 7
Albuquerque, NM 87104-1060

Mailing address

1405 San Carlos Rd SW Apt 7
Albuquerque, NM 87104-1060

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1942941794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SAN CARLOS RD SW APT 7",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SAN CARLOS RD SW APT 7",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041060",
            "telephone_number": "505-257-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL RITUALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "SUDAK",
        "authorized_official_first_name": "MILENA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "720-495-2346"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 16, 2023; 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.