Jeffrey Koenigsberg, LISW | |
813 Thrupps St, Las Vegas, NM 87701-3493 | |
(505) 670-7172 | |
Not Available |
Full Name | Jeffrey Koenigsberg |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 813 Thrupps St, Las Vegas, 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 |
---|---|---|---|
1518204395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1-08119 (New Mexico) | Primary |
Entity Name | Support Is Apparent Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053820902 PECOS PAC ID: 7719249655 Enrollment ID: O20180313000957 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Koenigsberg, LISW 813 Thrupps St, Las Vegas, NM 87701-3493 Ph: (505) 670-7172 | Jeffrey Koenigsberg, LISW 813 Thrupps St, Las Vegas, NM 87701-3493 Ph: (505) 670-7172 |
Shaelyn Margaret Muldoon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3695 Hot Springs Blvd, Las Vegas, NM 87701 Phone: 505-454-2100 | |
Ms. Louise M La Plante, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1319 S Gonzales St, Las Vegas, NM 87701 Phone: 505-617-1669 | |
Sylvia M Starr, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 Friedman Ave, Las Vegas, NM 87701 Phone: 505-454-5100 Fax: 505-454-0397 | |
Benjamin T Bencomo, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47 Alameda Rd, Las Vegas, NM 87701 Phone: 505-454-9738 Fax: 505-425-9285 | |
Rachel Kavanaugh, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 Friedman Ave, Las Vegas, NM 87701 Phone: 505-454-5100 | |
Alexandra Herrera, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2528 Ridge Runner Rd, Las Vegas, NM 87701 Phone: 505-429-0198 | |
Carolina Gutierrez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4012 El Llano Rd, Las Vegas, NM 87701 Phone: 505-429-6799 |