| Restoring Strong | |
|
428 Courthouse Rd Se Los Lunas NM 87031-9246 | |
| (505) 916-1622 | |
| (505) 672-7769 |
| Full Name | Restoring Strong |
|---|---|
| Speciality | Social Worker |
| Location | 428 Courthouse Rd Se, Los Lunas, New Mexico |
| Authorized Official Name and Position | Jacqueline Schnedler (OWNER) |
| Authorized Official Contact | 5059161622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoring Strong 1402 Main St Nw Ste 122b Los Lunas NM 87031-4810 Ph: (505) 916-1622 | Restoring Strong 428 Courthouse Rd Se Los Lunas NM 87031-9246 Ph: (505) 916-1622 |
| NPI Number | 1881378842 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Medicare PECOS PAC ID | 6002250990 |
|---|---|
| Medicare Enrollment ID | O20240219003666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881378842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jacqueline J Schnedler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679764708 PECOS PAC ID: 3678989654 Enrollment ID: I20220303000888 |
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