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NPI Code Detail

MEDICARE: MARIA ESMERALDA OTAME LCSW

MEDICARE: MARIA ESMERALDA OTAME LCSW
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
11041C0700XClinical Social WorkerC-09919NM
21041C0700XClinical Social Worker7601-CNV

General Provider Information

NPI Number : 1215359278
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA ESMERALDA OTAME LCSW
Provider Business Mailing Address
First Line : P.O. DRAWER 70
Second Line :
City : ANTHONY
State : NM
Zip : 88047-0070
Country : US
Telephone Number : 575-882-6101
Fax Number : 575-882-6926
Provider Business Practice Location Address
First Line : 5100 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3406
Country : US
Telephone Number : 702-799-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2014
Last Update Date : 02/07/2025

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