| Mrs Rose Mary Medina-dominguez, LCSW | |
|
105 Bertha Rd Ste B, Taos, NM 87571-7148 | |
| (575) 758-4297 | |
| Not Available |
| Full Name | Mrs Rose Mary Medina-dominguez |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 105 Bertha Rd Ste B, Taos, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043518046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C-08749 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Rose Mary Medina-dominguez, LCSW Po Box 36, Chamisal, NM 87521-0036 Ph: (505) 659-8769 | Mrs Rose Mary Medina-dominguez, LCSW 105 Bertha Rd Ste B, Taos, NM 87571-7148 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 | |
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 |