Mr Kenneth Bart Dodson, is a
Social Worker - Clinical based in Farmington, New Mexico. Mr Kenneth Bart Dodson is licensed to practice in New Mexico (license number C09762) and his current practice location is
22 Road 5291, Farmington, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 801-2515.
NPI number for Mr Kenneth Bart Dodson is 1194013490 and his current mailing address is 22 Road 5291, Farmington, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194013490.
Healthcare Provider's Profile
Full Name | Mr Kenneth Bart Dodson |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 22 Road 5291, Farmington, 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: 1194013490
- Provider Enumeration Date: 07/20/2011
- Last Update Date: 06/06/2024
Medical Identifiers
Medical identifiers for Mr Kenneth Bart Dodson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194013490 | NPI | - | NPPES |
60222875 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 0139981 (New Mexico) | Secondary |
1041C0700X | Social Worker - Clinical | C09762 (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 Kenneth Bart Dodson 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 Kenneth Bart Dodson, 22 Road 5291, Farmington, NM 87401-1307 Ph: (505) 801-2515 | Mr Kenneth Bart Dodson, 22 Road 5291, Farmington, NM 87401-1307 Ph: (505) 801-2515 |
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