Yvette Macdonald, M.S.W, L.C.S.W.

Individual provider Active NPI Clinical Social Worker · Algodones, NM

NPI 1083087712 · NPPES record last updated Nov 2, 2016

Key facts

NPI
1083087712
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C-09697 (NM)
Practice address
127 Hagon Rd
Algodones, NM 87001-8087
Phone
(505) 771-9900
NPI assigned
Nov 3, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-09697 NM Yes

Addresses

Primary practice location

127 Hagon Rd
Algodones, NM 87001-8087

Mailing address

3 Cedar Road
Algodones, NM 87001
Phone (505) 771-9900

Other providers in Algodones, NM

All providers in Algodones, NM · Clinical Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.