MEDICARE: G ANN REMICK-BARLOW LISW

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	104100000X	Social Worker	I2560	NM
2	104100000X	Social Worker	S19588	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NM100636	OTHER	NM	VALUE OPTIONS OF NEW MEXI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	NM00R9J	OTHER	NM	BLUE CROSS BLUE SHIELD OF

General Provider Information

NPI Number	:	1083609291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	G ANN REMICK-BARLOW LISW

Provider Business Mailing Address
First Line	:	2027 WESTWIND RD
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88007-4536
Country	:	US
Telephone Number	:	505-526-6040
Fax Number	:	505-523-8837

Provider Business Practice Location Address
First Line	:	2027 WESTWIND RD
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88007-4536
Country	:	US
Telephone Number	:	505-526-6040
Fax Number	:	505-523-8837

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

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	07/09/2007

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Directions to “ G ANN REMICK-BARLOW LISW” Practice Location

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