Healthcare Provider Details

I. General information

NPI: 1336096536
Provider Name (Legal Business Name): DENISE ARLET LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E SUMMIT ST
ROSWELL NM
88203-5619
US

IV. Provider business mailing address

400 S BIRCH AVE
ROSWELL NM
88203-1229
US

V. Phone/Fax

Practice location:
  • Phone: 575-623-0849
  • Fax:
Mailing address:
  • Phone: 575-623-0849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWB-2025-0602
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: