MEDICARE: ERIN SHATZER 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	SWB-2024-1193	NM

General Provider Information

NPI Number	:	1679206619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN SHATZER LCSW

Provider Business Mailing Address
First Line	:	7024 MOUNTAIN HAWK LOOP NE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87144-7625
Country	:	US
Telephone Number	:	913-669-4610
Fax Number	:

Provider Business Practice Location Address
First Line	:	1921 CARLISLE BLVD NE STE A
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-4971
Country	:	US
Telephone Number	:	505-750-4243
Fax Number	:

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

Provider Enumeration Date	:	07/07/2022
Last Update Date	:	12/17/2024

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