MEDICARE: DELILA CUEVAS 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	C-10402	NM
2	1041S0200X	School Social Worker	C-10402	NM
3	1041S0200X	School Social Worker

General Provider Information

NPI Number	:	1720457039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELILA CUEVAS LCSW

Provider Business Mailing Address
First Line	:	2308 GANDERT AVE SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-9607
Country	:	US
Telephone Number	:	505-896-0667
Fax Number	:

Provider Business Practice Location Address
First Line	:	4011 BARBARA LOOP SE STE 208
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87124-1041
Country	:	US
Telephone Number	:	505-219-1125
Fax Number	:

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

Provider Enumeration Date	:	09/16/2015
Last Update Date	:	05/28/2026

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