Mr Christopher H Weathers, LCSW | |
1215 Gusdorf Rd Ste A, Taos, NM 87571-6914 | |
(575) 770-7139 | |
Not Available |
Full Name | Mr Christopher H Weathers |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1215 Gusdorf Rd Ste A, Taos, 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 |
---|---|---|---|
1295281566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | X-09715 (New Mexico) | Primary |
324500000X | Substance Abuse Rehabilitation Facility | X-09715 (New Mexico) | Secondary |
Entity Name | Human Resource Development Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720206113 PECOS PAC ID: 6204169972 Enrollment ID: O20190612000232 |
Entity Name | Rapha Provider Agency Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588200984 PECOS PAC ID: 3072990308 Enrollment ID: O20220506000934 |
Mailing Address | Practice Location Address |
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Mr Christopher H Weathers, LCSW 18 Jma Ranch Rd, El Prado, NM 87529-5010 Ph: (575) 770-7139 | Mr Christopher H Weathers, LCSW 1215 Gusdorf Rd Ste A, Taos, NM 87571-6914 Ph: (575) 770-7139 |
Nakeesha Haelen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Paseo Del Canon W Ste A, Taos, NM 87571 Phone: 575-758-5857 Fax: 575-758-5860 | |
Ms. Linda Jean Todd, M.S.S.W., A.C.S.W., Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 Las Cruces Rd., Unit E, Taos, NM 87571 Phone: 505-758-3533 | |
Mrs. Rose Mary Medina-dominguez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Bertha Rd Ste B, Taos, NM 87571 Phone: 575-758-4297 | |
Ms. Carol Wells, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 Lund St., Taos, NM 87571 Phone: 575-770-2415 Fax: 575-758-3471 | |
Erick A Struck, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1331 Gusdorf Rd, Taos, NM 87571 Phone: 575-758-3601 Fax: 575-758-1058 | |
Joshua Trujillo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Bertha Rd Ste B, Taos, NM 87571 Phone: 575-758-4297 | |
Ms. Joey Blue, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 822b Paseo Del Pubelo Sur, Taos, NM 87571 Phone: 505-758-9511 Fax: 505-758-9511 |