MEDICARE: CLAUDIA BETH BESS 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	104100000X	Social Worker	M-07198	NM

General Provider Information

NPI Number	:	1871811828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA BETH BESS LMSW

Provider Business Mailing Address
First Line	:	3917 JULIE ST NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-1438
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 LOUISIANA BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-3532
Country	:	US
Telephone Number	:	505-974-0104
Fax Number	:

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

Provider Enumeration Date	:	05/13/2010
Last Update Date	:	05/13/2010

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