MEDICARE: ROXANNE ARTHUR 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	1041S0200X	School Social Worker	90673077	NM
2	104100000X	Social Worker	M-05523	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	:	1649489428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROXANNE ARTHUR LMSW

Provider Business Mailing Address
First Line	:	11 ROAD 3939
Second Line	:
City	:	FARMINGTON
State	:	NM
Zip	:	87401-1036
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 ROAD 3939
Second Line	:
City	:	FARMINGTON
State	:	NM
Zip	:	87401-1036
Country	:	US
Telephone Number	:	505-860-1692
Fax Number	:

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

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	06/09/2022

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Directions to “ ROXANNE ARTHUR LMSW” Practice Location

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