Tyler Bock
Individual provider Active NPI Social Worker · Clovis, NM
NPI 1194239848 · NPPES record last updated May 13, 2024
Key facts
- NPI
- 1194239848
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 300 Commerce Way
Clovis, NM 88101-4751 - Phone
- (575) 935-6262
- NPI assigned
- Nov 16, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurstead Consulting Services, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
300 Commerce Way
Clovis, NM 88101-4751
Mailing address
300 Commerce Way
Clovis, NM 88101-4751
Phone (575) 935-6262
Other practice location 1
1100 W 21st St
Clovis, NM 88101-4151
Phone (575) 769-2345
Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.