Kristine Jaramillo, LCSW
Individual provider Active NPI Clinical Social Worker · Moriarty, NM
NPI 1003226507 · NPPES record last updated Jan 29, 2025
Key facts
- NPI
- 1003226507
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C-10694 (NM)
- Practice address
- 200 Center Street
Moriarty, NM 87035 - Phone
- (505) 832-5817
- NPI assigned
- May 6, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-10694 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moriarty Municipal School | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-10694 | NM | Yes |
Addresses
Primary practice location
200 Center Street
Moriarty, NM 87035
Mailing address
PO Box 1283
Edgewood, NM 87015-1283
Phone (505) 410-1737
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C-10694 | Other | NM | LCSW |
Other providers in Moriarty, NM
- Terry J Hare
- Healing Word LLC
- Zackery Herrera
- High Plains Medical, Inc.
- Toby Hurtado
- Megan Leboeuf
- Kristen K Leeson
- Sara Lombardi
- Sarah Jill Lyon
- Angela Mabry
All providers in Moriarty, NM · Clinical Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.