Noemi Guerra, LMSW

Individual provider Active NPI Social Worker · Anthony, NM

NPI 1033867296 · NPPES record last updated Mar 16, 2022

Key facts

NPI
1033867296
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
X-12263 (NM)
Practice address
785 Anthony Drive
Anthony, NM 88021-2671
Phone
(575) 882-5100
Fax
(575) 882-1151
NPI assigned
Mar 16, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
X-12263NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amanecer Community Counseling Center Current
since Mar 20, 2022
Accepting new patients
Amanecer Community Counseling Center, LLC Past
since Mar 20, 2022
Accepting new patients

Locations

785 Anthony Dr
Anthony, NM 88021
Phone (575) 882-5100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X X-12263 NM Yes

Addresses

Primary practice location

785 Anthony Drive
Anthony, NM 88021-2671

Mailing address

PO Box 2671
Anthony, NM 88021-2671
Phone (575) 882-5100

Other identifiers

IdentifierTypeStateIssuer
35650338MedicaidNM

Other providers in Anthony, NM

All providers in Anthony, NM · Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.