Erick A Struck, LISW | |
1331 Gusdorf Rd, Taos, NM 87571-6282 | |
(575) 758-3601 | |
(575) 758-1058 |
Full Name | Erick A Struck |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1331 Gusdorf Rd, Taos, 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 |
---|---|---|---|
1063790566 | NPI | - | NPPES |
39822869 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I-08242 (New Mexico) | Primary |
Entity Name | El Centro Family Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780689034 PECOS PAC ID: 9830080688 Enrollment ID: O20100528000457 |
Mailing Address | Practice Location Address |
---|---|
Erick A Struck, LISW 538 N Paseo De Onate, P.o. Box 158, Espanola, NM 87532-2618 Ph: (505) 753-7218 | Erick A Struck, LISW 1331 Gusdorf Rd, Taos, NM 87571-6282 Ph: (575) 758-3601 |
Nakeesha Haelen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Paseo Del Canon W Ste A, Taos, NM 87571 Phone: 575-758-5857 Fax: 575-758-5860 | |
Ms. Linda Jean Todd, M.S.S.W., A.C.S.W., Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 Las Cruces Rd., Unit E, Taos, NM 87571 Phone: 505-758-3533 | |
Mrs. Rose Mary Medina-dominguez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Bertha Rd Ste B, Taos, NM 87571 Phone: 575-758-4297 | |
Ms. Carol Wells, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 Lund St., Taos, NM 87571 Phone: 575-770-2415 Fax: 575-758-3471 | |
Joshua Trujillo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Bertha Rd Ste B, Taos, NM 87571 Phone: 575-758-4297 | |
Ms. Joey Blue, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 822b Paseo Del Pubelo Sur, Taos, NM 87571 Phone: 505-758-9511 Fax: 505-758-9511 |