Karissa Andazola, CSW

Individual provider Active NPI Case Manager/Care Coordinator · Silver City, NM

NPI 1194409326 · NPPES record last updated Jun 8, 2023

Key facts

NPI
1194409326
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
610 N Silver St
Silver City, NM 88061-6779
Phone
(575) 956-6131
Fax
(575) 956-6947
NPI assigned
Jun 8, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Supporting People in Need Single Specialty Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator
Group: 193400000X SINGLE SPECIALTY GROUP
171M00000X NM Yes

Addresses

Primary practice location

610 N Silver St
Silver City, NM 88061-6779

Mailing address

1927 S Lamina Loop
Silver City, NM 88061-3475
Phone (575) 519-0032

Other providers in Silver City, NM

All providers in Silver City, NM · Case Manager/Care Coordinator in New Mexico

Sources for this page

Verify at the official NPI Registry.