Mark William Raybould, LISW | |
2811 Indian School Rd Ne, Albuquerque, NM 87106-1825 | |
(505) 573-4044 | |
(505) 573-4044 |
Full Name | Mark William Raybould |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 26 Years |
Location | 2811 Indian School Rd Ne, Albuquerque, New Mexico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124095096 | NPI | - | NPPES |
51681374 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I-04965 (New Mexico) | Primary |
Entity Name | Mark W Raybould Lisw Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770762775 PECOS PAC ID: 7113819350 Enrollment ID: O20040325000176 |
Mailing Address | Practice Location Address |
---|---|
Mark William Raybould, LISW Po Box 30811, Albuquerque, NM 87190-0811 Ph: (505) 573-4044 | Mark William Raybould, LISW 2811 Indian School Rd Ne, Albuquerque, NM 87106-1825 Ph: (505) 573-4044 |
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 |