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NPI Code Detail

MEDICARE: NATALIA MIRABEL MARTINEZ LCSW

MEDICARE: NATALIA MIRABEL MARTINEZ 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
11041S0200XSchool Social WorkerB-2405NM
21041C0700XClinical Social WorkerC-08065NM

General Provider Information

NPI Number : 1306058193
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIA MIRABEL MARTINEZ LCSW
Provider Business Mailing Address
First Line : 385 CALLE DE ALEGRA STE A
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-3423
Country : US
Telephone Number : 575-526-1105
Fax Number : 575-524-4266
Provider Business Practice Location Address
First Line : 535 S MIRANDA ST
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-2823
Country : US
Telephone Number : 575-647-2800
Fax Number : 575-647-2898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 05/26/2022

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Directions to “ NATALIA MIRABEL MARTINEZ LCSW” Practice Location

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