Mindy Michelle Sena
Individual provider Active NPI Clinical Social Worker · Texico, NM
NPI 1033806542 · NPPES record last updated Apr 24, 2023
Key facts
- NPI
- 1033806542
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C-11707 (NM)
- Practice address
- 385 Curry Road 10
Texico, NM 88135-9794 - Phone
- (575) 799-9877
- NPI assigned
- Apr 24, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240618000107 | NM | Practitioner - Clinical Social Worker | 5991248080 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agape Counseling, LLC | Clinical | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-11707 | NM | Yes |
Addresses
Primary practice location
385 Curry Road 10
Texico, NM 88135-9794
Mailing address
385 Curry Road 10
Texico, NM 88135-9794
Phone (575) 799-9877
Other providers in Texico, NM
- City of Texico
- Christine Anne Little
- Med-Trans Corporation
- Med-Trans Corporation
- Patricia Ann Ohare
- Karen Denise Stevenson
All providers in Texico, 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 Apr 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.