Mr Bryan W Hodges, LISW, LADAC is a
Social Worker - Clinical based in Las Cruces, New Mexico. Mr Bryan W Hodges is licensed to practice in New Mexico (license number I-05676) and his current practice location is
100 W Griggs Ave, Las Cruces, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(575) 647-2800.
NPI number for Mr Bryan W Hodges is 1720205719 and his current mailing address is 100 W Griggs Ave, Las Cruces, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720205719.
Healthcare Provider's Profile
Full Name | Mr Bryan W Hodges |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 100 W Griggs Ave, Las Cruces, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720205719
- Provider Enumeration Date: 04/19/2007
- Last Update Date: 02/17/2015
Medical Identifiers
Medical identifiers for Mr Bryan W Hodges such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720205719 | NPI | - | NPPES |
18677037 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 0081351 (New Mexico) | Secondary |
1041C0700X | Social Worker - Clinical | I-05676 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Bryan W Hodges is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Bryan W Hodges, LISW, LADAC 100 W Griggs Ave, Las Cruces, NM 88001-1234 Ph: (575) 647-2800 | Mr Bryan W Hodges, LISW, LADAC 100 W Griggs Ave, Las Cruces, NM 88001-1234 Ph: (575) 647-2800 |
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