1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Social Worker
  6. NPI Profile

GWENDOLYN FACCIANO
NPI 1053898064
Social Worker in Albuquerque, NM

Active since July 23, 2018PECOS Enrolled
4304 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107(505) 433-7561 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 2, 2026, Dec 2, 2024, Jul 23, 2018 (3 updates tracked since 2018).

About Gwendolyn Facciano NPPES

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

GWENDOLYN FACCIANO (NPI 1053898064) is an individual social worker in Albuquerque, New Mexico, licensed in New Mexico (SWB-2024-1014) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053898064
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameGWENDOLYN FACCIANO
Location Address4304 CARLISLE BLVD NEAlbuquerque, NM 87107-4811
Mailing Address4304 Carlisle Blvd NeAlbuquerque, NM 87107-4811 · (505) 433-7561
Phone(505) 433-7561
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 23, 2018
Last NPPES UpdateMarch 2, 20263 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1053898064 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-2024-1014
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.
4304 CARLISLE BLVD NE, Albuquerque, NM 87107
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gwendolyn Facciano is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850898560
PECOS Enrollment IDI20251008003585
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.

Medicare Billing Reassignment

Medicare enrollment records show Gwendolyn Facciano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wild Magnolia Wellness
2.6 mi
Community/Behavioral Health
6501 4TH ST NW STE H-5
Los Ranchos, NM 87107
  • Reassigned Medicare billing, New Mexico enrollment
  • 7 clinicians in this Medicare group
NPI 1255820205 (505) 274-0112

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA M GARCIA PA-C
Physician Assistant
4304 CARLISLE BLVD NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 888-1075
FOUR HUMOURS HEALTHCARE, LLC
Hospitalist
4304 CARLISLE BLVD NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 888-1075
NADIA MAY BEDARD
Social Worker
4304 CARLISLE BLVD NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 433-7561
MRS. KIMBERLY TONNE MCCLINTIC MA, LPCC
Counselor (Professional)
4304 CARLISLE BLVD NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 433-7561
DAVID ALEXANDER LPCC
Counselor (Professional)
4304 CARLISLE BLVD NE
ALBUQUERQUE, NM 87107
Bernalillo County (301) 848-1765
VIRGINIA RAIN KILBURNE
Counselor (Professional)
4304 CARLISLE BLVD NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 433-7561
AMANDA L MOE MS., LPCC
Counselor (Professional)
4304 CARLISLE BLVD NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 750-0405
ASHLEY SUSAN MCKENNA LPCC
Counselor (Professional)
4304 CARLISLE BLVD NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 891-9797

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 Gwendolyn Facciano's NPI number?

The NPI number for Gwendolyn Facciano is 1053898064. It was assigned to this individual provider in the NPPES registry on July 23, 2018.

Where is Gwendolyn Facciano located?

Gwendolyn Facciano practices at 4304 Carlisle Blvd NE, Albuquerque, NM 87107. The listed phone number is (505) 433-7561.

What is Gwendolyn Facciano's specialty?

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

Is Gwendolyn Facciano enrolled in Medicare?

Yes. Gwendolyn Facciano is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gwendolyn Facciano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gwendolyn Facciano reassigns Medicare benefits to Wild Magnolia Wellness (Los Ranchos, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gwendolyn Facciano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gwendolyn Facciano was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.