Gwendolyn Facciano
NPI 1053898064ActiveIndividual· Social Worker· Albuquerque, NM
Social Worker in Albuquerque, New Mexico, licensed in NM, with an NPI issued in July 2018. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1053898064 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 23, 2018 |
| Last updated in NPPES | Mar 2, 2026 |
| Certified by provider | Mar 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | SWB-2024-1014 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NM) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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