Individual
MS. KRISTI K EBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2501 RIO GRANDE BLVD NW STE A, ALBUQUERQUE, NM 87104-3233
(510) 391-4099
(510) 328-7386
Mailing address
2501 RIO GRANDE BLVD NW STE A, ALBUQUERQUE, NM 87104-3233
(510) 391-4099
(510) 328-7386
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
096616-01
NY
1041C0700X
Clinical Social Worker
6801085914
MI
1041C0700X
Clinical Social Worker
LCSW-22990
AZ
1041C0700X
Clinical Social Worker
LCSW117521
CA
1041C0700X
Clinical Social Worker
Primary
SWB-2025-0352
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI6664
MEDICARE GROUP
MI
01
—
MI6664001
MEDICARE
MI
Enumeration date
12/20/2007
Last updated
05/11/2026
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