Healthcare Provider Details

I. General information

NPI: 1407342959
Provider Name (Legal Business Name): CLAIRE V CARMONY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2018
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1723 SLATE AVE NW
ALBUQUERQUE NM
87104-1317
US

IV. Provider business mailing address

1723 SLATE AVE NW
ALBUQUERQUE NM
87104-1317
US

V. Phone/Fax

Practice location:
  • Phone: 505-506-3436
  • Fax:
Mailing address:
  • Phone: 505-506-3436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWB-2025-0335
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: