Laura Ross Wood, LCSW | |
5720 El Prado Rd Nw, Los Ranchos, NM 87107-6310 | |
(505) 699-5885 | |
Not Available |
Full Name | Laura Ross Wood |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5720 El Prado Rd Nw, Los Ranchos, 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 |
---|---|---|---|
1174294532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SWB-2024-0211 (New Mexico) | Primary |
1041C0700X | Social Worker - Clinical | 105759 (Texas) | Secondary |
Entity Name | Renewnm Therapy, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902585169 PECOS PAC ID: 6901243088 Enrollment ID: O20240325003086 |
Mailing Address | Practice Location Address |
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Laura Ross Wood, LCSW 5720 El Prado Rd Nw, Los Ranchos, NM 87107-6310 Ph: (505) 699-5885 | Laura Ross Wood, LCSW 5720 El Prado Rd Nw, Los Ranchos, NM 87107-6310 Ph: (505) 699-5885 |
Jodie L Hart, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 608 Bledsoe Rd Nw, Los Ranchos, NM 87107 Phone: 505-450-8007 | |
Robyn E. Admire, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1776 Montano Rd Nw Bldg 3, Los Ranchos, NM 87107 Phone: 505-738-3698 | |
Sara Esquivel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6501 4th St Nw, Los Ranchos, NM 87107 Phone: 505-433-7561 | |
Hayley Hathaway, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6501 4th St Nw Ste H, Los Ranchos, NM 87107 Phone: 505-433-7561 | |
Santiago Montoya, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6501 4th St Nw, Los Ranchos, NM 87107 Phone: 505-433-7561 | |
Mr. Daniel Joseph Mintie, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 312 Wayne Rd Nw, Los Ranchos, NM 87114 Phone: 505-792-4519 |