Tamela Ann Minnich, LMSW

Individual provider Active NPI School Social Worker · Zuni, NM

NPI 1104122951 · NPPES record last updated Jan 26, 2011

Key facts

NPI
1104122951
Entity type
Individual (NPI type 1)
Primary specialty
School Social Worker 1041S0200X
License
M-06760 (NM)
Practice address
PO Box a
Zuni, NM 87327-0166
Phone
(505) 782-5821
Fax
(505) 782-5505
NPI assigned
Jan 26, 2011
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
M-06760NMMDSchool Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X M-06760 NM Yes

Addresses

Primary practice location

PO Box a
Zuni, NM 87327-0166

Mailing address

PO Box a
Zuni, NM 87327-0166
Phone (505) 782-5821

Other providers in Zuni, NM

All providers in Zuni, NM · School Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.