Individual provider Active NPI

Lynne Marie Treibel, LISW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1962790394
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-07846 Issued in NM
Practice address
5345 Wyoming Blvd NE
Suite 200F
Albuquerque, NM 87109-3148
Phone
(505) 610-3966
Fax
(505) 610-3966
NPI assigned
Jul 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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-07846 NM Primary

Addresses

Primary practice location

5345 Wyoming Blvd NE
Suite 200F
Albuquerque, NM 87109-3148

Mailing address

5345 Wyoming Blvd NE
Suite 200F
Albuquerque, NM 87109-3148
Phone (505) 610-3966

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
I-07846NMMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1962790394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 WYOMING BLVD NE",
            "address_2": "SUITE 200F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093148",
            "telephone_number": "505-610-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 WYOMING BLVD NE",
            "address_2": "SUITE 200F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093148",
            "telephone_number": "505-610-3966",
            "fax_number": "505-610-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREIBEL",
        "first_name": "LYNNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-07846",
            "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 Jan 16, 2015; 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.