MEDICARE: RORY MCGUILL LCSW

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	I-08446	NM

General Provider Information

NPI Number	:	1598143141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RORY MCGUILL LCSW

Provider Business Mailing Address
First Line	:	PO BOX 6880
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87502-6880
Country	:	US
Telephone Number	:	505-216-0332
Fax Number	:	505-982-0279

Provider Business Practice Location Address
First Line	:	4710 JEFFERSON ST NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-2155
Country	:	US
Telephone Number	:	505-955-9454
Fax Number	:	505-888-9644

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

Provider Enumeration Date	:	05/15/2015
Last Update Date	:	02/09/2026

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