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NPI Code Detail

MEDICARE: GENEVIEVE MAEZ CSW

MEDICARE: GENEVIEVE MAEZ CSW
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
1106S00000XBehavior Technician
2172V00000XCommunity Health WorkerNM

General Provider Information

NPI Number : 1255024915
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENEVIEVE MAEZ CSW
Provider Business Mailing Address
First Line : 2612 DAKOTA ST NE APT J
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-3347
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8500 WASHINGTON ST NE STE A1
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87113-1861
Country : US
Telephone Number : 505-828-3837
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2023
Last Update Date : 04/09/2026

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Directions to “ GENEVIEVE MAEZ CSW” Practice Location

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