Able Clinical Services Inc.
Organization Active NPI Clinical Social Worker · Bloomfield, NM
NPI 1154919694 · NPPES record last updated Jan 8, 2021
Key facts
- NPI
- 1154919694
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- ABLE CLINICAL SERVICES INC.
- Practice address
- 100 N Church St Ste B
Bloomfield, NM 87413-5754 - Phone
- (505) 333-7219
- NPI assigned
- Jan 8, 2021
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kristi D Coddington, LCSW
- Title
- Registered Agent
- Phone
- (505) 333-7219
Practitioners 2
-
Kristi Coddington, LCSW
-
Michelle D Pistole, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210316002140 | NM | Part B Supplier - Clinic/Group Practice | 4385050384 |
Receives reassigned benefits from 1 practitioner Practice locations: Bloomfield, NM |
National Provider Directory
Locations
100 N Church St
Ste B
Bloomfield, NM 87413
Phone (505) 333-7219
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Rural Health Clinic/Center | 261QR1300X |
Addresses
Primary practice location
100 N Church St Ste B
Bloomfield, NM 87413-5754
Mailing address
100 N Church St Ste B
Bloomfield, NM 87413-5754
Phone (505) 333-7219
Other providers in Bloomfield, NM
- 100 South Bloomfield Professional, LLC
- 803 Hacienda Lane Opco, LLC
- 803 Hacienda Lane Operations LLC
- Georgina G. Alby
- Angel Peak Counseling, LLC
- Elizabeth Applegate
- Sara Elaine Asbury
- Sharlee Ashley
All providers in Bloomfield, 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 Jan 8, 2021. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.