MEDICARE: NANCE PEASE 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	LW70017324	WA
2	1041C0700X	Clinical Social Worker	C-10301	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	:	1891090114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCE PEASE LCSW

Provider Business Mailing Address
First Line	:	3301 MONROE ST NE UNIT J99
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-1871
Country	:	US
Telephone Number	:	425-320-9556
Fax Number	:

Provider Business Practice Location Address
First Line	:	3301 MONROE ST NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-1860
Country	:	US
Telephone Number	:	425-320-9556
Fax Number	:

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

Provider Enumeration Date	:	01/18/2011
Last Update Date	:	12/09/2025

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Directions to “ NANCE PEASE LCSW” Practice Location

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