Ms Lisa Mardel Smith, is a
Counselor - Mental Health based in Albuquerque, New Mexico. Ms Lisa Mardel Smith is licensed to practice in New Mexico (license number CTB-2023-0939) and her current practice location is
1122 Central Ave Sw, Albuquerque, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 639-5916.
NPI number for Ms Lisa Mardel Smith is 1366749004 and her current mailing address is 301 San Andres Ave Nw, Albuquerque, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366749004.
Healthcare Provider's Profile
Full Name | Ms Lisa Mardel Smith |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1122 Central Ave Sw, Albuquerque, 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: 1366749004
- Provider Enumeration Date: 02/15/2011
- Last Update Date: 11/13/2023
Medical Identifiers
Medical identifiers for Ms Lisa Mardel Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366749004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 17178 (Oregon) | Secondary |
101YM0800X | Counselor - Mental Health | CTB-2023-0939 (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 Lisa Mardel Smith 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 Lisa Mardel Smith, 301 San Andres Ave Nw, Albuquerque, NM 87107-3950 Ph: (505) 639-5916 | Ms Lisa Mardel Smith, 1122 Central Ave Sw, Albuquerque, NM 87102-2947 Ph: (505) 639-5916 |
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