MEDICARE: MISS TERRY THAYER 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	1041C0700X	Clinical Social Worker	I-05820	NM

General Provider Information

NPI Number	:	1376779223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS TERRY THAYER LISW

Provider Business Mailing Address
First Line	:	1224 MAPLE MEADOWS DR NE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87144-2557
Country	:	US
Telephone Number	:	505-917-4249
Fax Number	:

Provider Business Practice Location Address
First Line	:	1224 MAPLE MEADOWS DR NE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87144-2557
Country	:	US
Telephone Number	:	505-917-4249
Fax Number	:

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

Provider Enumeration Date	:	06/05/2009
Last Update Date	:	06/05/2009

Similar Medicare Providers

1154631547 — JEAN SHERRI MIERA M.S.
Practice Location Address:

2557 CHESSMAN DR NE
RIO RANCHO, NM
87124-6517

Practice Phone: 505-480-9733
Practice Fax:

1124493085 — JEREMY MIERA
Practice Location Address:

2557 CHESSMAN DR NE
RIO RANCHO, NM
87124-6517

Practice Phone: 505-720-3941
Practice Fax:

1508715269 — EAARON EAARON SMITH
Practice Location Address:

1190 FASCINATION ST NE
RIO RANCHO, NM
87144-5818

Practice Phone: 505-803-9191
Practice Fax:

1407554439 — MAKING AN IMPACT LLC
Practice Location Address:

701 CHIHUAHUA RD NE
RIO RANCHO, NM
87144-7758

Practice Phone: 505-305-0902
Practice Fax:

1447902192 — MAKING AN IMPACT LLC
Practice Location Address:

2501 MONTERREY RD NE
RIO RANCHO, NM
87144-5600

Practice Phone: 719-651-7584
Practice Fax:

1023761673 — MAKING AN IMPACT LLC
Practice Location Address:

5408 VERA CRUZ RD NE
RIO RANCHO, NM
87144-3281

Practice Phone: 719-651-7584
Practice Fax:

Directions to “ MISS TERRY THAYER LISW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.