Virginia A Allen, L.I.S.W.
Individual provider Active NPI School Social Worker · Raton, NM
NPI 1003837568 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1003837568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Social Worker 1041S0200X
- License
- I-05743 (NM)
- Practice address
- 101 N 2ND St
Raton, NM 87740-3803 - Phone
- (505) 445-7090
- Fax
- (505) 445-7663
- NPI assigned
- Jul 21, 2006
- 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 |
|---|---|---|---|
| I-05743 | NM | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Plains Regional Education Coop | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | I-05743 | NM | Yes |
Addresses
Primary practice location
101 N 2ND St
Raton, NM 87740-3803
Mailing address
101 N 2ND St
Raton, NM 87740-3803
Phone (505) 445-7090
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58230882 | Medicaid | NM |
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All providers in Raton, NM · School 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 Jul 9, 2007. 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.