Ivan Marie Roque, LCSW | |
707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102-2367 | |
(505) 268-0701 | |
(270) 689-6677 |
Full Name | Ivan Marie Roque |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 707 Broadway Blvd Ne Ste 500, Albuquerque, 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 |
---|---|---|---|
1447401195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C-09696 (New Mexico) | Primary |
Entity Name | Behavioral Healthcare Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730112483 PECOS PAC ID: 3274625132 Enrollment ID: O20090407000362 |
Entity Name | The Peoples Counseling And Consulting Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396345328 PECOS PAC ID: 2961857107 Enrollment ID: O20231009001728 |
Mailing Address | Practice Location Address |
---|---|
Ivan Marie Roque, LCSW Po Box 1637, Owensboro, KY 42302-1637 Ph: (270) 689-6500 | Ivan Marie Roque, LCSW 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102-2367 Ph: (505) 268-0701 |
Rudy A Tafoya, BMS Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 801 Encino Pl Ne, Building F, Albuquerque, NM 87102 Phone: 505-272-1312 Fax: 505-272-2240 | |
Mrs. Jeniffer Lynn Lang, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2530 Virginia St Ne Ste 400, Albuquerque, NM 87110 Phone: 505-291-6314 | |
Ms. Danelle W Marshall, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102 Phone: 505-268-0701 Fax: 270-689-6677 | |
Anna Marie Gonzales, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1709 Moon St Ne, Albuquerque, NM 87112 Phone: 505-271-0329 | |
Samuel Hufnagel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 4th St Nw Ste 102, Albuquerque, NM 87102 Phone: 505-705-9636 | |
France Bordeleau, L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10801 Lomas Blvd Ne, Ste. #104, Albuquerque, NM 87112 Phone: 505-710-8423 Fax: 505-822-1189 | |
Rose Langland, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8205 Spain Rd Ne Ste 106, Albuquerque, NM 87109 Phone: 505-856-0300 Fax: 505-856-7946 |