Healthcare Provider Details

I. General information

NPI: 1750234886
Provider Name (Legal Business Name): WILLIAM JARMAN ESQ, LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: W. BRAD JARMAN ESQ, LCSW

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 CAMINO JUSTICIA
SANTA FE NM
87508-8500
US

IV. Provider business mailing address

730 PANORAMA LN
SANTA FE NM
87501-8710
US

V. Phone/Fax

Practice location:
  • Phone: 505-428-3121
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWB-2025-1344
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: