Ms Paola Mercedes Moreno Wazlavek, LCSW | |
5312 Rio Bravo Dr Ste 10, Santa Teresa, NM 88008-9210 | |
(575) 915-1338 | |
Not Available |
Full Name | Ms Paola Mercedes Moreno Wazlavek |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5312 Rio Bravo Dr Ste 10, Santa Teresa, 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 |
---|---|---|---|
1982914941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW9414 (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | C-10576 (New Mexico) | Primary |
Entity Name | Nm Family Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649697657 PECOS PAC ID: 3274754775 Enrollment ID: O20141027001904 |
Mailing Address | Practice Location Address |
---|---|
Ms Paola Mercedes Moreno Wazlavek, LCSW Po Box 2523, Sunland Park, NM 88063-2523 Ph: (575) 915-1338 | Ms Paola Mercedes Moreno Wazlavek, LCSW 5312 Rio Bravo Dr Ste 10, Santa Teresa, NM 88008-9210 Ph: (575) 915-1338 |
Mrs. Mireya Grisel Cepeda, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 140 Tuscan Ridge Cir, Santa Teresa, NM 88008 Phone: 915-892-7263 | |
Matthew Christopher Bryan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 185 Osprey Ct, Santa Teresa, NM 88008 Phone: 915-873-5672 | |
Crystal Heredia-sanchez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 101 Livingston Loop Ste C1, Santa Teresa, NM 88008 Phone: 575-824-9000 Fax: 866-232-9241 | |
Omar Torres, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 101 Livingston Loop Ste C1, Santa Teresa, NM 88008 Phone: 575-824-9000 Fax: 866-232-9241 |