Amanda Ortiz, | |
536 Los Lentes Rd Se, Los Lunas, NM 87031-7052 | |
(505) 944-6626 | |
Not Available |
Full Name | Amanda Ortiz |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 536 Los Lentes Rd Se, Los Lunas, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1053049338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | X-12216 (New Mexico) | Primary |
Entity Name | Journey To Wellness Counseling Los Lunas, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053838375 PECOS PAC ID: 3870970684 Enrollment ID: O20220517002193 |
Mailing Address | Practice Location Address |
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Amanda Ortiz, 3654 Santa Sabina Ave, Las Cruces, NM 88012-7488 Ph: (575) 740-2391 | Amanda Ortiz, 536 Los Lentes Rd Se, Los Lunas, NM 87031-7052 Ph: (505) 944-6626 |
Nichole Strasser, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2212 Main St Ne, Suite A, Los Lunas, NM 87031 Phone: 505-916-5900 Fax: 505-916-5900 | |
Kylah Guerra, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2112 Main St Ne Ste A, Los Lunas, NM 87031 Phone: 505-717-1155 | |
Mrs. Janet Marie Krusick, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 735 Don Pasqual Rd Nw, Los Lunas, NM 87031 Phone: 505-865-3350 | |
Elise Hensley, L.I.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 02 Hormiga Court, Los Lunas, NM 87031 Phone: 505-270-8778 Fax: 505-866-2282 | |
Wendy Ann Rodgers, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 Morris Rd Se, Los Lunas, NM 87031 Phone: 505-866-2318 | |
Vivian Kafalenos, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 428 Los Lentes Rd Se Ste 3, Los Lunas, NM 87031 Phone: 505-388-1894 |