Healthcare Provider Details

I. General information

NPI: 1710251020
Provider Name (Legal Business Name): BENTOYA S CURRY MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2012
Last Update Date: 03/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 SAN PEDRO BOULEVARD SOUTHEAST (116)
ALBUQUERQUE NM
87108
US

IV. Provider business mailing address

10700 ACADEMY ROAD NORTHEST
ALBUQUERQUE NM
87111
US

V. Phone/Fax

Practice location:
  • Phone: 505-256-6499
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC50078880
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: