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KYLE ROUCKUS LCSW
NPI 1003587551
Social Worker in Albuquerque, NM

Active since September 24, 2021PECOS EnrolledAccepts Medicare Assignment
528 CARLISLE BLVD NE, ALBUQUERQUE, NM 87106(505) 363-3313 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2023, Sep 24, 2021 (2 updates tracked since 2021).

About Kyle Rouckus Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE ROUCKUS LCSW (NPI 1003587551) is an individual social worker in Albuquerque, New Mexico, licensed in New Mexico (SWB-2023-1127) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1003587551
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameKYLE ROUCKUSCredential: LCSW
Location Address528 CARLISLE BLVD NEAlbuquerque, NM 87106-1323
Mailing Address528 Carlisle Blvd NeAlbuquerque, NM 87106-1323 · (505) 363-3313
Phone(505) 363-3313
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 24, 2021
Last NPPES UpdateJanuary 16, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
✔ NPI 1003587551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NM · SWB-2023-1127
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
528 CARLISLE BLVD NE, Albuquerque, NM 87106
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle Rouckus Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698118909
PECOS Enrollment IDI20240202003242
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Rouckus's NPI number?

The NPI number for Kyle Rouckus is 1003587551. It was assigned to this individual provider in the NPPES registry on September 24, 2021.

Where is Kyle Rouckus located?

Kyle Rouckus practices at 528 Carlisle Blvd NE, Albuquerque, NM 87106. The listed phone number is (505) 363-3313.

What is Kyle Rouckus's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kyle Rouckus enrolled in Medicare?

Yes. Kyle Rouckus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kyle Rouckus was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.