Jennifer Nelson, LCSW | |
215 Cowboy Way, Edgewood, NM 87015-9616 | |
(505) 464-7213 | |
Not Available |
Full Name | Jennifer Nelson |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 215 Cowboy Way, Edgewood, 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 |
---|---|---|---|
1639648736 | NPI | - | NPPES |
33014042 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C-12014 (New Mexico) | Primary |
Entity Name | Rio Grande Emdr Therapy, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861090342 PECOS PAC ID: 9739582016 Enrollment ID: O20210723001781 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Nelson, LCSW Po Box 1080, Estancia, NM 87016-1080 Ph: (505) 750-0105 | Jennifer Nelson, LCSW 215 Cowboy Way, Edgewood, NM 87015-9616 Ph: (505) 464-7213 |
Sherry Lynn Lebeznick Brown, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8 Casey Ct, Edgewood, NM 87015 Phone: 505-730-6735 | |
Mr. Roxroy Anthony Reid, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 25 Camino Collado, Edgewood, NM 87015 Phone: 505-710-4278 Fax: 505-286-0865 | |
Mrs. Kellie Ann Tomlin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 215 Cowboy Way, Edgewood, NM 87015 Phone: 505-926-1575 Fax: 505-629-0521 |