Julie E Ackron, LCSW

Individual provider Active NPI Clinical Social Worker · Rio Rancho, NM

NPI 1205087301 · NPPES record last updated Feb 22, 2024

Key facts

NPI
1205087301
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C-07666 (NM)
Practice address
4800 Cleveland Heights Rd NE
Rio Rancho, NM 87144-1607
Phone
(505) 938-0300
NPI assigned
Oct 7, 2008
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

State licenses

LicenseStateTypeSpecialty
C-07666NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Rancho Public Schools School Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-07666 NM Yes

Addresses

Primary practice location

4800 Cleveland Heights Rd NE
Rio Rancho, NM 87144-1607

Mailing address

4800 Cleveland Heights Rd NE
Rio Rancho, NM 87144-1607

Other providers in Rio Rancho, NM

All providers in Rio Rancho, NM · Clinical Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.