MEDICARE: LECIA MCHARGUE 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	104100000X	Social Worker	SWB-2026-0414	NM

General Provider Information

NPI Number	:	1447874235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LECIA MCHARGUE LMSW

Provider Business Mailing Address
First Line	:	4010 CARLISLE BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-4532
Country	:	US
Telephone Number	:	505-301-5297
Fax Number	:

Provider Business Practice Location Address
First Line	:	4010 CARLISLE BLVD NE APT 3
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-4532
Country	:	US
Telephone Number	:	505-818-0540
Fax Number	:

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

Provider Enumeration Date	:	06/08/2020
Last Update Date	:	06/08/2026

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