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NPI Code Detail

MEDICARE: PATRICK WELCH SW

MEDICARE: PATRICK WELCH SW
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
1104100000XSocial WorkerM 05657NM
21041S0200XSchool Social WorkerM 5657NM

Other Identifiers

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

General Provider Information

NPI Number : 1578693057
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK WELCH SW
Provider Business Mailing Address
First Line : 6701 FORTUNA RD NW
Second Line : WEST MESA HS
City : ALBUQUERQUE
State : NM
Zip : 87121-1306
Country : US
Telephone Number : 505-831-6993
Fax Number :
Provider Business Practice Location Address
First Line : 6701 FORTUNA RD NW
Second Line : WEST MESA HS
City : ALBUQUERQUE
State : NM
Zip : 87121-1306
Country : US
Telephone Number : 505-831-6993
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 09/11/2025

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Directions to “ PATRICK WELCH SW” Practice Location

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