MEDICARE: MS. RITA T FRANKEN 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-06157	NM

General Provider Information

NPI Number	:	1912224536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RITA T FRANKEN LISW

Provider Business Mailing Address
First Line	:	HC 80 BOX 278
Second Line	:
City	:	LAS VEGAS
State	:	NM
Zip	:	87701-9596
Country	:	US
Telephone Number	:	505-274-1920
Fax Number	:

Provider Business Practice Location Address
First Line	:	HC 80 BOX 278
Second Line	:
City	:	LAS VEGAS
State	:	NM
Zip	:	87701-9596
Country	:	US
Telephone Number	:	505-274-1920
Fax Number	:

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

Provider Enumeration Date	:	04/21/2010
Last Update Date	:	06/19/2026

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