MEDICARE: MRS. CASEY MARIE THARPE LMSW

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	101Y00000X	Counselor	SWB-2025-0242	NM

General Provider Information

NPI Number	:	1710241971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CASEY MARIE THARPE LMSW

Provider Business Mailing Address
First Line	:	1424 PEPPOLI LOOP SE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87124-8778
Country	:	US
Telephone Number	:	505-948-0460
Fax Number	:

Provider Business Practice Location Address
First Line	:	1424 PEPPOLI LOOP SE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87124-8778
Country	:	US
Telephone Number	:	505-948-0460
Fax Number	:

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

Provider Enumeration Date	:	07/02/2012
Last Update Date	:	12/09/2025

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