Charleen M Yellow Kidney, | |
11 Valle Escondido, Placitas, NM 87043-8845 | |
(505) 554-6888 | |
Not Available |
Full Name | Charleen M Yellow Kidney |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 11 Valle Escondido, Placitas, 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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1679891600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C-09957 (New Mexico) | Primary |
Entity Name | Haven Behavioral Services Of Albuquerque Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093079303 PECOS PAC ID: 0042466054 Enrollment ID: O20130619000106 |
Mailing Address | Practice Location Address |
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Charleen M Yellow Kidney, 12804 Skyline Rd Ne, Albuquerque, NM 87123-3056 Ph: (505) 554-6888 | Charleen M Yellow Kidney, 11 Valle Escondido, Placitas, NM 87043-8845 Ph: (505) 554-6888 |
Ms. Judith Acosta, LISW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16 Roadrunner Trail, Placitas, NM 87043 Phone: 505-771-2282 | |
Jonathan Reade, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 92 Vista Montana Loop, Placitas, NM 87043 Phone: 917-412-9296 | |
Kelley Anne Elliott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 57 Calle Chamisa, Placitas, NM 87043 Phone: 505-228-1572 |