Sonia M Herd

Individual provider Active NPI School Social Worker · Capitan, NM

NPI 1295379923 · NPPES record last updated Sep 19, 2023

Key facts

NPI
1295379923
Entity type
Individual (NPI type 1)
Primary specialty
School Social Worker 1041S0200X
License
SWB-2023-0857 (NM)
Practice address
312 5TH St
Capitan, NM 88316
Phone
(575) 808-9430
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
Yes

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-2023-0857NMMDSchool Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
School Social Worker 1041S0200X SWB-2023-0857 NM Yes

Addresses

Primary practice location

312 5TH St
Capitan, NM 88316

Mailing address

312 W 5TH St
Capitan, NM 88316
Phone (575) 808-9430

Other providers in Capitan, NM

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

Sources for this page

Verify at the official NPI Registry.