| Sally Jo Warnick, Lisw Psychotherapy Practice | |
|
4155 State Road 68 Unit 6 Ranchos De Taos NM 87557 | |
| (575) 776-7432 | |
| Not Available |
| Full Name | Sally Jo Warnick, Lisw Psychotherapy Practice |
|---|---|
| Speciality | Social Worker |
| Location | 4155 State Road 68 Unit 6, Ranchos De Taos, New Mexico |
| Authorized Official Name and Position | Sally Jo Warnick (THERAPIST) |
| Authorized Official Contact | 5757767432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sally Jo Warnick, Lisw Psychotherapy Practice Po Box 2629 Taos NM 87571-2629 Ph: (575) 776-7432 | Sally Jo Warnick, Lisw Psychotherapy Practice 4155 State Road 68 Unit 6 Ranchos De Taos NM 87557 Ph: (575) 776-7432 |
| NPI Number | 1851774426 |
|---|---|
| Provider Enumeration Date | 07/01/2015 |
| Last Update Date | 10/14/2015 |
| Medicare PECOS PAC ID | 4385953223 |
|---|---|
| Medicare Enrollment ID | O20151016000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851774426 | NPI | - | NPPES |
| 59635533 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-4486 (New Mexico) | Primary |
| Provider Name | Sally J Warnick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356420236 PECOS PAC ID: 4880824325 Enrollment ID: I20140303001526 |
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