MEDICARE: MICHELE HELENE BEUTTEL LBSW,LMSW,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-06810	NM

Other Identifiers

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

General Provider Information

NPI Number	:	1760525349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE HELENE BEUTTEL LBSW,LMSW,LISW

Provider Business Mailing Address
First Line	:	PO BOX 26372
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87125-6372
Country	:	US
Telephone Number	:	575-770-1703
Fax Number	:

Provider Business Practice Location Address
First Line	:	2113 ALHAMBRA AVE SW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87104-1601
Country	:	US
Telephone Number	:	575-770-1703
Fax Number	:

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

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	12/01/2025

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Directions to “ MICHELE HELENE BEUTTEL LBSW,LMSW,LISW” Practice Location

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