Consuelo Mccash Lcsw Llc | |
424 Cordova Ave Nw Albuquerque NM 87107-1273 | |
(505) 515-1606 | |
Not Available |
Full Name | Consuelo Mccash Lcsw Llc |
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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 |
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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 |
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Provider Enumeration Date | 07/09/2019 |
Last Update Date | 07/09/2019 |
Medicare PECOS PAC ID | 9638508054 |
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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 |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558783506 PECOS PAC ID: 6800173147 Enrollment ID: I20170515001602 |
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