| Consuelo Mccash Lcsw Llc | |
|
424 Cordova Ave Nw Albuquerque NM 87107-1273 | |
| (505) 515-1606 | |
| Not Available |
| Full Name | Consuelo Mccash Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 424 Cordova Ave Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Consuelo Mccash (OWNER) |
| Authorized Official Contact | 5055151606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Consuelo Mccash Lcsw Llc Po Box 10055 Albuquerque NM 87184-0055 Ph: (505) 515-1606 | Consuelo Mccash Lcsw Llc 424 Cordova Ave Nw Albuquerque NM 87107-1273 Ph: (505) 515-1606 |
| NPI Number | 1831741065 |
|---|---|
| Provider Enumeration Date | 07/09/2019 |
| Last Update Date | 07/09/2019 |
| Medicare PECOS PAC ID | 9638508054 |
|---|---|
| Medicare Enrollment ID | O20200407001330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831741065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Consuelo L Mccash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558783506 PECOS PAC ID: 6800173147 Enrollment ID: I20170515001602 |
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