Dominic John Cagliostro, LCSW, LADAC | |
146 Quincy St Ne, Albuquerque, NM 87108-1257 | |
(505) 550-1306 | |
(844) 434-8055 |
Full Name | Dominic John Cagliostro |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 11 Years |
Location | 146 Quincy St Ne, Albuquerque, New Mexico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417281890 | NPI | - | NPPES |
19983085 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | C-09928 (New Mexico) | Primary |
Entity Name | Perfectly Imperfect |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720486772 PECOS PAC ID: 3577837905 Enrollment ID: O20170922001558 |
Mailing Address | Practice Location Address |
---|---|
Dominic John Cagliostro, LCSW, LADAC 146 Quincy St Ne, Albuquerque, NM 87108-1257 Ph: (505) 550-1306 | Dominic John Cagliostro, LCSW, LADAC 146 Quincy St Ne, Albuquerque, NM 87108-1257 Ph: (505) 550-1306 |
Ms. Lori M Ortiz, M.A. LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2403 San Mateo Blvd Ne, Albuquerque, NM 87110 Phone: 505-830-1871 | |
Cynthia Marie Taylor, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 Griegos Rd Nw, Albuquerque, NM 87107 Phone: 505-345-8471 | |
Mrs. Shelley Sue Stisser, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8205 Spain Rd Ne Ste 106, Albuquerque, NM 87109 Phone: 505-856-0300 Fax: 505-856-7946 | |
Hillary Carman, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 Griegos Rd Nw, Albuquerque, NM 87107 Phone: 505-345-8471 | |
Ms. Ramona Floyd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 Griegos Rd Nw, Albuquerque, NM 87107 Phone: 505-345-8471 | |
Mrs. Rachel Offineer Roberts, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10511 Golf Course Rd Nw, Suite 102, Albuquerque, NM 87114 Phone: 505-717-1155 Fax: 505-717-1473 | |
Julie Marie Raborn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 1st St Nw, Suite 200, Albuquerque, NM 87102 Phone: 505-224-9124 Fax: 505-847-9503 |