OrganizationActive
Jack L. Humphries, Lisw, Ltd.
NPI 1043376288 · Clinical Social Worker · Albuquerque, NM
Provider details
- NPI number
- 1043376288
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jack Humphries, President(505) 620-5225
- License
- I-3613 (NM)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8800 Palomar Ave Ne
Albuquerque, NM 87109-7205
Phone: (505) 620-5225
Fax: (505) 798-1743
Street-level locationGet directions
Mailing address
Po Box 16387
Albuquerque, NM 87191-6387
Registry dates
- Enumerated
- 2006-12-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.