Tesla Rae Aguirre

Individual provider Active NPI School Social Worker · Silver City, NM

NPI 1043041981 · NPPES record last updated Aug 29, 2024

Key facts

NPI
1043041981
Entity type
Individual (NPI type 1)
Primary specialty
School Social Worker 1041S0200X
License
SWB-2024-0573 (NM)
Practice address
4042 NM-90
Silver City, NM 88061
Phone
(575) 956-2170
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
No

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
SWB-2024-0573NMMDSchool Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X SWB-2024-0573 NM Yes

Addresses

Primary practice location

4042 NM-90
Silver City, NM 88061

Mailing address

401 E Lance Dr
Silver City, NM 88061-6628
Phone (575) 680-0584

Other names

  • Tesla Rae Aguirre Professional name

Other providers in Silver City, NM

All providers in Silver City, NM · School Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.