GWENDOLYN FACCIANO
NPI 1053898064
Social Worker in Albuquerque, NM

Q: 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.

Q: What is Gwendolyn Facciano's specialty?

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

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: July 26, 2026.

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

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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

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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 (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.

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Other Providers at the Same Location NPPES 17

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

LINDA M GARCIA PA-C

Physician Assistant