MEDICARE: NATALYA BACKHAUS LMSW

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	1041C0700X	Clinical Social Worker	SWB-2025-0798	NM
2	101Y00000X	Counselor	CTB-2023-0520	NM
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	CTB-2023-0520	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265132310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALYA BACKHAUS LMSW

Provider Business Mailing Address
First Line	:	12 UNSER BLVE SE, SUITE C
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87124-0000
Country	:	US
Telephone Number	:	505-531-8361
Fax Number	:

Provider Business Practice Location Address
First Line	:	12 UNSER BLVE SE, SUITE C
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87124-0000
Country	:	US
Telephone Number	:	505-531-8361
Fax Number	:

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

Provider Enumeration Date	:	03/07/2023
Last Update Date	:	05/19/2026

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Directions to “ NATALYA BACKHAUS LMSW” Practice Location

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