| Anna Rider Llc | |
|
1421 Luisa St Ste O Santa Fe NM 87505-4073 | |
| (505) 690-8618 | |
| Not Available |
| Full Name | Anna Rider Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1421 Luisa St Ste O, Santa Fe, New Mexico |
| Authorized Official Name and Position | Anna Rider (LCSW) |
| Authorized Official Contact | 5056908618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anna Rider Llc 1421 Luisa St Ste O Santa Fe NM 87505-4073 Ph: (505) 690-8618 | Anna Rider Llc 1421 Luisa St Ste O Santa Fe NM 87505-4073 Ph: (505) 690-8618 |
| NPI Number | 1205575263 |
|---|---|
| Provider Enumeration Date | 05/28/2022 |
| Last Update Date | 06/20/2022 |
| Certification Date | 06/20/2022 |
| Medicare PECOS PAC ID | 1456736263 |
|---|---|
| Medicare Enrollment ID | O20220914003921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205575263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Anna M Rider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609047703 PECOS PAC ID: 2365827177 Enrollment ID: I20220914003934 |
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