Crystal Heredia-sanchez, LCSW | |
101 Livingston Loop Ste C1, Santa Teresa, NM 88008-9753 | |
(575) 824-9000 | |
(866) 232-9241 |
Full Name | Crystal Heredia-sanchez |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 101 Livingston Loop Ste C1, Santa Teresa, 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 |
---|---|---|---|
1780719658 | NPI | - | NPPES |
18677037 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C-06430 (New Mexico) | Primary |
Entity Name | Buen Salud Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275858490 PECOS PAC ID: 9931337060 Enrollment ID: O20140116000818 |
Mailing Address | Practice Location Address |
---|---|
Crystal Heredia-sanchez, LCSW 100 W Griggs Ave, Las Cruces, NM 88001-1234 Ph: (575) 647-2800 | Crystal Heredia-sanchez, LCSW 101 Livingston Loop Ste C1, Santa Teresa, NM 88008-9753 Ph: (575) 824-9000 |
Mrs. Mireya Grisel Cepeda, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 140 Tuscan Ridge Cir, Santa Teresa, NM 88008 Phone: 915-892-7263 | |
Matthew Christopher Bryan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 185 Osprey Ct, Santa Teresa, NM 88008 Phone: 915-873-5672 | |
Ms. Paola Mercedes Moreno Wazlavek, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5312 Rio Bravo Dr Ste 10, Santa Teresa, NM 88008 Phone: 575-915-1338 | |
Omar Torres, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 101 Livingston Loop Ste C1, Santa Teresa, NM 88008 Phone: 575-824-9000 Fax: 866-232-9241 |