| Sabrina Gaskill Licensed Clinical Worker Lc Llc | |
|
706 S 1st St Tucumcari NM 88401-2715 | |
| (575) 461-8783 | |
| (575) 461-9624 |
| Full Name | Sabrina Gaskill Licensed Clinical Worker Lc Llc |
|---|---|
| Speciality | Social Worker |
| Location | 706 S 1st St, Tucumcari, New Mexico |
| Authorized Official Name and Position | Sabrina Gaskill (COUNSELOR) |
| Authorized Official Contact | 5754617909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sabrina Gaskill Licensed Clinical Worker Lc Llc 518 E Center St Tucumcari NM 88401-2270 Ph: (575) 461-7909 | Sabrina Gaskill Licensed Clinical Worker Lc Llc 706 S 1st St Tucumcari NM 88401-2715 Ph: (575) 461-8783 |
| NPI Number | 1821520206 |
|---|---|
| Provider Enumeration Date | 04/03/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9638435399 |
|---|---|
| Medicare Enrollment ID | O20171113002334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821520206 | NPI | - | NPPES |
| 90952774 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C-09783 (New Mexico) | Primary |
| Provider Name | Sabrina Gaskill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962848119 PECOS PAC ID: 0547526204 Enrollment ID: I20171113002491 |
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