Tana Hudson, LISW | |
1202 Highway 60, Building D, Socorro, NM 87801-3914 | |
(575) 838-4690 | |
(575) 838-4689 |
Full Name | Tana Hudson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1202 Highway 60, Socorro, 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 |
---|---|---|---|
1245500974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I-08462 (New Mexico) | Primary |
Entity Name | Presbyterian Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Mailing Address | Practice Location Address |
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Tana Hudson, LISW Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Tana Hudson, LISW 1202 Highway 60, Building D, Socorro, NM 87801-3914 Ph: (575) 838-4690 |
Martha Mcgowan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1202 Highway 60 Bldg D, Socorro, NM 87801 Phone: 575-838-4690 | |
Ms. Johnnie Donn Robinson, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 Highway 60, Socorro, NM 87801 Phone: 505-835-2444 Fax: 505-838-0150 | |
Robert Irvin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 Highway 60, Socorro, NM 87801 Phone: 575-835-2444 | |
Miracle Ann Williams, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1200 Highway 60, Socorro, NM 87801 Phone: 575-835-2444 | |
Mr. Carl Quintana, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 Franklin St, Socorro, NM 87801 Phone: 505-559-0946 |