| Jodi Ahrend Lcsw Llc | |
|
304 General Bradley St Ne Albuquerque NM 87123-1016 | |
| (505) 573-4595 | |
| Not Available |
| Full Name | Jodi Ahrend Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 304 General Bradley St Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jodi Ahrend (OWNER OPERATOR) |
| Authorized Official Contact | 5055734595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Ahrend Lcsw Llc 304 General Bradley St Ne Albuquerque NM 87123-1016 Ph: (505) 573-4595 | Jodi Ahrend Lcsw Llc 304 General Bradley St Ne Albuquerque NM 87123-1016 Ph: (505) 573-4595 |
| NPI Number | 1700532009 |
|---|---|
| Provider Enumeration Date | 02/24/2022 |
| Last Update Date | 04/15/2022 |
| Certification Date | 03/09/2022 |
| Medicare PECOS PAC ID | 0840677571 |
|---|---|
| Medicare Enrollment ID | O20220518000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700532009 | NPI | - | NPPES |
| 38770822 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Jodi Ahrend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295146884 PECOS PAC ID: 1759768484 Enrollment ID: I20220519000318 |
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