MARK WILLIAM RAYBOULD LISW
NPI 1124095096
Social Worker - Clinical in Albuquerque, NM

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
2811 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87106(505) 573-4044(505) 573-4044 Get Directions Write a Review

NPPES record last updated: June 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark William Raybould Lisw NPPES

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

MARK WILLIAM RAYBOULD LISW (NPI 1124095096) is an individual clinical provider in Albuquerque, New Mexico, licensed in New Mexico (I-04965) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1124095096
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMARK WILLIAM RAYBOULDCredential: LISW
Location Address2811 INDIAN SCHOOL RD NEAlbuquerque, NM 87106-1825
Mailing AddressPo Box 30811Albuquerque, NM 87190-0811 · (505) 573-4044 · Fax (505) 573-4044
Fax(505) 573-4044
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateMarch 1, 2006
Last NPPES UpdateJune 3, 2008
NPI 1124095096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NM · I-04965
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2811 INDIAN SCHOOL RD NE, Albuquerque, NM 87106

Other Identifiers 2

Medicare PIN341408602NM
Medicaid51681374NM

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

Mark William Raybould Lisw 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 ID648162883
PECOS Enrollment IDI20040326000599
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
300 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.26 – $166.80
Typical copayment $0.00 (range $13.56 – $41.70)
Most-billed visit code NA
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

Psychologist
2811 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87106
Clinic/Center (Adolescent and Children Mental Health)
2811 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87106
Clinic/Center (Adolescent and Children Mental Health)
2811 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87106
Psychologist
2811 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87106
Clinic/Center (Adolescent and Children Mental Health)
2811 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87106
Clinic/Center (Mental Health (Including Community Mental Health Center))
2811 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87106
Counselor (Mental Health)
2811 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87106
Community/Behavioral Health
2811 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87106

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 Mark Raybould's NPI number?

The NPI number for Mark Raybould is 1124095096. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Mark Raybould located?

Mark Raybould practices at 2811 Indian School Rd NE, Albuquerque, NM 87106. The listed phone number is (505) 573-4044.

What is Mark Raybould's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mark Raybould enrolled in Medicare?

Yes. Mark Raybould 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 Mark Raybould was last updated on June 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.