Individual provider Active NPI

John Oliver Love, MSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1972744480
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
M-04734 Issued in NM
Practice address
1501 San Pedro Drive SE
BHCL 116
Albuquerque, NM 87108-5154
Phone
(505) 265-1711
Fax
(505) 767-6020
NPI assigned
Mar 12, 2009
Last updated
Mar 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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 M-04734 NM Primary

Addresses

Primary practice location

1501 San Pedro Drive SE
BHCL 116
Albuquerque, NM 87108-5154

Mailing address

2827 Rio Grande Blvd NW
Apt 1
Albuquerque, NM 87107-2972
Phone (505) 265-1711

Other names 1

  • John Oliver Love Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201111001911 NM Practitioner - Clinical Social Worker 9133539653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Peopleworks-NMGroup PAC ID 8123177219, 2 clinicians

Practice addresses (Care Compare)

1005 21St St SE
Suite B
Rio Rancho, NM 87124-4030
Phone (505) 990-4186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M-04734NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peopleworks-NM Clinical CurrentSince Nov 1, 2020 Accepting new patients

Locations

1005 21st St SE
Ste B
Rio Rancho, NM 87124
Phone (505) 353-2061

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, 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": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1972744480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 RIO GRANDE BLVD NW",
            "address_2": "APT 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072972",
            "telephone_number": "505-265-1711",
            "fax_number": "505-767-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SAN PEDRO DRIVE SE",
            "address_2": "BHCL 116",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085154",
            "telephone_number": "505-265-1711",
            "fax_number": "505-767-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "JOHN",
        "middle_name": "OLIVER",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-04734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "LOVE",
            "middle_name": "OLIVER",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.