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NPI Code Detail

MEDICARE: MS. VIOLANDA THERESA NUNEZ SOCIAL WORKER

MEDICARE: MS. VIOLANDA THERESA NUNEZ SOCIAL WORKER
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
21041C0700XClinical Social WorkerI1588NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205900834
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VIOLANDA THERESA NUNEZ SOCIAL WORKER
Provider Business Mailing Address
First Line : 1316 APACHE AVE
Second Line :
City : SANTA FE
State : NM
Zip : 87505-3212
Country : US
Telephone Number : 505-438-0035
Fax Number : 505-438-0051
Provider Business Practice Location Address
First Line : 1316 APACHE AVE
Second Line :
City : SANTA FE
State : NM
Zip : 87505-3212
Country : US
Telephone Number : 505-438-0035
Fax Number : 505-438-0051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 09/11/2025

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