Ms Maria Teresa Fairclough, LMSW is a
Social Worker - Clinical based in Roswell, New Mexico. Ms Maria Teresa Fairclough is licensed to practice in New Mexico (license number M-08576) and her current practice location is
2317 N Sherman Ave, Roswell, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 227-5459.
NPI number for Ms Maria Teresa Fairclough is 1679911259 and her current mailing address is 11101 Colville Rd Se, Albuquerque, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679911259.
Healthcare Provider's Profile
Full Name | Ms Maria Teresa Fairclough |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2317 N Sherman Ave, Roswell, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679911259
- Provider Enumeration Date: 06/05/2013
- Last Update Date: 03/03/2024
Medical Identifiers
Medical identifiers for Ms Maria Teresa Fairclough such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679911259 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 0115481 (New Mexico) | Secondary |
1041C0700X | Social Worker - Clinical | M-08576 (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. Ms Maria Teresa Fairclough 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 |
Ms Maria Teresa Fairclough, LMSW 11101 Colville Rd Se, Albuquerque, NM 87123-3708 Ph: (505) 227-5459 | Ms Maria Teresa Fairclough, LMSW 2317 N Sherman Ave, Roswell, NM 88201-6429 Ph: (505) 227-5459 |
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