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NPI Code Detail

MEDICARE: HOPE TRUJILLO LCSW

MEDICARE:   HOPE  TRUJILLO  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
1104100000XSocial WorkerM 5773NM
21041S0200XSchool Social WorkerM 5773NM
31041C0700XClinical Social WorkerC-06707NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C-06707OTHERNMNM SOCIAL WORK BOARD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821127382
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOPE TRUJILLO LCSW
Provider Business Mailing Address
First Line : 3401 E 30TH ST
Second Line :
City : FARMINGTON
State : NM
Zip : 87402-8805
Country : US
Telephone Number : 505-324-9840
Fax Number :
Provider Business Practice Location Address
First Line : 3401 E 30TH ST
Second Line :
City : FARMINGTON
State : NM
Zip : 87402-8805
Country : US
Telephone Number : 505-324-9840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 12/13/2023

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Directions to “ HOPE TRUJILLO LCSW” Practice Location

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