MEDICARE: DR. STEVEN ANDREW WASHBURN PHD, LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0404	NM
2	104100000X	Social Worker	M-1658	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10007274	OTHER	NM	LOVELACE HEALTH PLAN
2	7360231	OTHER	NM	AETNA
3	425379	OTHER	NM	PRIVATE HEALTH CARE
4	63428	OTHER	NM	CIGNA
5	NM00R398	OTHER	NM	BLUE CROSS BLUE SHIELD OF
6	NM100981	OTHER	NM	VALUE OPTIONS OF NEW MEXI
7	293894	OTHER	NM	UNITED BEHAVIORAL HEALTH

General Provider Information

NPI Number	:	1023096872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN ANDREW WASHBURN PHD, LPCC

Provider Business Mailing Address
First Line	:	3901 GEORGIA ST NE
Second Line	:	SUITE B 2
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-1359
Country	:	US
Telephone Number	:	505-837-1177
Fax Number	:	505-872-8045

Provider Business Practice Location Address
First Line	:	3901 GEORGIA ST NE
Second Line	:	SUITE B 2
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-1359
Country	:	US
Telephone Number	:	505-837-1177
Fax Number	:	505-872-8045

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	09/11/2025

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