Kami Lea Donald

Individual provider Active NPI School Social Worker · Farmington, NM

NPI 1194366393 · NPPES record last updated Sep 30, 2019

Key facts

NPI
1194366393
Entity type
Individual (NPI type 1)
Primary specialty
School Social Worker 1041S0200X
License
B-10893 (NM)
Practice address
4451 Wildflower Dr
Farmington, NM 87401-2846
Phone
(505) 599-8622
NPI assigned
Sep 30, 2019
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
B-10893NMMDSchool Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X B-10893 NM Yes

Addresses

Primary practice location

4451 Wildflower Dr
Farmington, NM 87401-2846

Mailing address

4704 Eastwind Ave
Farmington, NM 87401-8602
Phone (505) 947-8662

Electronic endpoints

TypeEndpointUseAffiliation
Other URL mesaviewk12.nm.us

Other providers in Farmington, NM

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

Sources for this page

Verify at the official NPI Registry.