MRS. NETTIE LYNNE ROSE LISW LADAC
NPI 1407847403
Counselor - Addiction (Substance Use Disorder) in Albuquerque, NM
About Mrs. Nettie Lynne Rose Lisw Ladac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NETTIE LYNNE ROSE LISW LADAC (NPI 1407847403) is an individual addiction (substance use disorder) provider in Albuquerque, New Mexico, licensed in New Mexico (C-4453) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Accepted Insurance
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
Mrs. Nettie Lynne Rose Lisw Ladac 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBUQUERQUE, NM 87110
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 Nettie Rose's NPI number?
The NPI number for Nettie Rose is 1407847403. It was assigned to this individual provider in the NPPES registry on October 31, 2005. The provider is also known as Ms. Nettie Lynne Clegg.
Where is Nettie Rose located?
Nettie Rose practices at 1610 San Pedro NE #a, Albuquerque, NM 87110. The listed phone number is (505) 265-0753.
What is Nettie Rose's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Nettie Rose enrolled in Medicare?
Yes. Nettie Rose 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.
What insurance does Nettie Rose accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Nettie Rose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nettie Rose was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Nettie Lynne Rose, LISW LADAC · NPI 1407847403
Addiction (Substance Use Disorder) provider in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since October 31, 2005.
## Identity
- **NPI:** 1407847403 (Entity type: Individual)
- **Enumerated:** October 31, 2005
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** C-4453 (New Mexico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1610 SAN PEDRO NE #A, Albuquerque, NM 87110
- **Phone:** (505) 265-0753 · **Fax:** (505) 268-5722
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** September 9, 2020
- **Other identifiers:** Medicaid 37376764 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1407847403) · Data from the CMS NPPES public registry.