Marino Vigil Sr, LCSW | |
1615 Ojo Ct., Farmington, NM 87401 | |
(505) 564-4804 | |
Not Available |
Full Name | Marino Vigil Sr |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1615 Ojo Ct., Farmington, 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 |
---|---|---|---|
1821444118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SWB-2022-0067 (New Mexico) | Primary |
Entity Name | Presbyterian Medical Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871505032 PECOS PAC ID: 2062324684 Enrollment ID: O20031103000414 |
Mailing Address | Practice Location Address |
---|---|
Marino Vigil Sr, LCSW Po Box 5190, Farmington, NM 87499-5190 Ph: (505) 327-7218 | Marino Vigil Sr, LCSW 1615 Ojo Ct., Farmington, NM 87401 Ph: (505) 564-4804 |
Richalyn B Fredriksen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3802 College Boulevard, Farmington, NM 87402 Phone: 505-599-8608 | |
Catherine Michelle Roberts, LCSW, CCM Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2616 E 22nd St, Farmington, NM 87401 Phone: 505-608-1980 | |
Janet Dodson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 W Main St, Farmington, NM 87401 Phone: 505-787-2616 Fax: 505-564-3788 | |
Jo Davis, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 W Broadway, Ste. C, Farmington, NM 87401 Phone: 505-326-4383 Fax: 505-325-1925 | |
Mr. Roy J. Tso Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 Northridge Dr, Farmington, NM 87401 Phone: 505-635-2030 | |
Amanda M Lobato, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 N Behrend Ave Ste G, Farmington, NM 87401 Phone: 505-860-3479 | |
Ashely Jack, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 653 W Arrington St, Farmington, NM 87401 Phone: 505-654-3733 |