Individual provider Active NPI

Michelle Lee Croft, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1962659722
Registry record updated Jul 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-10701 Issued in NM
Practice address
7007 Wyoming Blvd NE Ste D5
Albuquerque, NM 87109-3981
Phone
(505) 321-6029
NPI assigned
Aug 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-10701 NM Primary
Clinical Social Worker 1041C0700X LCSW-722 WY

Addresses

Primary practice location

7007 Wyoming Blvd NE Ste D5
Albuquerque, NM 87109-3981

Mailing address

7007 Wyoming Blvd NE Ste D5
Albuquerque, NM 87109-3981
Phone (505) 321-6029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110428000564 WY Practitioner - Clinical Social Worker 6305021783 Practice locations: Lovell, WY
I20210907003561 NM Practitioner - Clinical Social Worker 6305021783 Practice locations: Albuquerque, NM

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7007 Wyoming Blvd NE
Suite D5
Albuquerque, NM 87109-3981
Phone (505) 321-6029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brio & Balance LLC PastSince Oct 17, 2018 Accepting new patients

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": "1219536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689984000000",
    "number": "1962659722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 WYOMING BLVD NE STE D5",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093981",
            "telephone_number": "505-321-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 WYOMING BLVD NE STE D5",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093981",
            "telephone_number": "505-321-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFT",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-24",
        "last_updated": "2023-07-22",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10701",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.