NPI 1023364270 · live from the CMS NPI Registry
Retisha Antonio
Social Worker, Clinical in Albuquerque, NM. National Provider Identifier 1023364270, active.
NPI record
| NPI | 1023364270 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 625 Silver Ave Sw, Albuquerque, NM 87102 |
| Practice phone | 505-842-8435 |
| Enumerated | July 25, 2012 |
| Last updated | July 8, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | SWB-2026-0902 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.