| Mr Willis Edwin Blackmore, LMSW | |
|
1337 Gusdorf Road, Suites E & F, Taos, NM 87571-6489 | |
| (575) 758-4297 | |
| (575) 751-7237 |
| Full Name | Mr Willis Edwin Blackmore |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1337 Gusdorf Road, Suites E & F, Taos, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386846715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | M-04831 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Willis Edwin Blackmore, LMSW 4787 Ndcbu, Taos, NM 87571-6032 Ph: (505) 737-0142 | Mr Willis Edwin Blackmore, LMSW 1337 Gusdorf Road, Suites E & F, Taos, NM 87571-6489 Ph: (575) 758-4297 |
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 |