| Uncaged Therapy Llc. | |
|
500 Marquette Ave Nw Ste 1200 Albuquerque NM 87102-5312 | |
| (505) 620-9686 | |
| Not Available |
| Full Name | Uncaged Therapy Llc. |
|---|---|
| Speciality | Social Worker |
| Location | 500 Marquette Ave Nw Ste 1200, Albuquerque, New Mexico |
| Authorized Official Name and Position | Lisa Anderson (OWNER) |
| Authorized Official Contact | 5056209686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uncaged Therapy Llc. 500 Marquette Ave Nw Ste 1200 Albuquerque NM 87102-5312 Ph: (505) 620-9686 | Uncaged Therapy Llc. 500 Marquette Ave Nw Ste 1200 Albuquerque NM 87102-5312 Ph: (505) 620-9686 |
| NPI Number | 1477268084 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 01/18/2023 |
| Certification Date | 01/18/2023 |
| Medicare PECOS PAC ID | 9234501198 |
|---|---|
| Medicare Enrollment ID | O20230202002271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477268084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lisa Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851799563 PECOS PAC ID: 2163827874 Enrollment ID: I20210818002765 |
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