Individual provider · Type 1 NPI

Retisha Antonio

Clinical Social Worker · Albuquerque, NM

NPI number 1023364270 Active

Practice location

625 Silver Ave SW
Albuquerque, NM 87102-3123

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSWB-2026-0902 (NM)

Clinical Social Worker: 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 interpers…

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About NPI 1023364270

Retisha Antonio's National Provider Identifier is 1023364270, issued on Jul 25, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 8, 2026.