Mr Patrick Harry Stafford, LPCC is a
Social Worker - Clinical based in Vado, New Mexico. Mr Patrick Harry Stafford is licensed to practice in Texas (license number 13450) and his current practice location is
220 Vista Del Rey Dr, Vado, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(575) 233-3240.
NPI number for Mr Patrick Harry Stafford is 1104159466 and his current mailing address is 220 Vista Del Rey Dr, Vado, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104159466.
Healthcare Provider's Profile
Full Name | Mr Patrick Harry Stafford |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 220 Vista Del Rey Dr, Vado, 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: 1104159466
- Provider Enumeration Date: 09/17/2009
- Last Update Date: 09/17/2009
Medical Identifiers
Medical identifiers for Mr Patrick Harry Stafford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104159466 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 0096381 (New Mexico) | Secondary |
1041C0700X | Social Worker - Clinical | 13450 (Texas) | 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 Patrick Harry Stafford 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 Patrick Harry Stafford, LPCC 220 Vista Del Rey Dr, Vado, NM 88072-7236 Ph: (575) 233-3240 | Mr Patrick Harry Stafford, LPCC 220 Vista Del Rey Dr, Vado, NM 88072-7236 Ph: (575) 233-3240 |
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