| Janelle Cassidy, Lcsw | |
|
310 B Rio Lucero Rd El Prado NM 87529 | |
| (575) 779-2031 | |
| Not Available |
| Full Name | Janelle Cassidy, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 310 B Rio Lucero Rd, El Prado, New Mexico |
| Authorized Official Name and Position | Janelle M. Cassidy (LCSW) |
| Authorized Official Contact | 5757792031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Janelle Cassidy, Lcsw 66 Maestas Rd Ranchos De Taos NM 87557-9780 Ph: (575) 779-2031 | Janelle Cassidy, Lcsw 310 B Rio Lucero Rd El Prado NM 87529 Ph: (575) 779-2031 |
| NPI Number | 1194229484 |
|---|---|
| Provider Enumeration Date | 03/21/2018 |
| Last Update Date | 03/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194229484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C-10004 (New Mexico) | Primary |
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