Madeline Laiz, MSW

Individual provider Active NPI Social Worker · Las Cruces, NM

NPI 1245094036 · NPPES record last updated Feb 12, 2024

Key facts

NPI
1245094036
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
SWB-2023-0260 (NM)
Practice address
128 Wyatt Dr
Las Cruces, NM 88005-2925
Phone
(575) 882-5100
Fax
(575) 882-1151
NPI assigned
Feb 12, 2024
Sex
Female
Sole proprietor
No

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
SWB-2023-0260NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amanecer Community Counseling Center Past
since Feb 18, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SWB-2023-0260 NM Yes

Addresses

Primary practice location

128 Wyatt Dr
Las Cruces, NM 88005-2925

Mailing address

PO Box 2671
Anthony, NM 88021-2671
Phone (575) 882-5100

Other providers in Las Cruces, NM

All providers in Las Cruces, NM · Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.