Jennie Barela, LBSW
Individual provider Active NPI Social Worker · Hatch, NM
NPI 1326205345 · NPPES record last updated May 19, 2008
Key facts
- NPI
- 1326205345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- B-2746 (NM)
- Practice address
- 255 Hwy 187
Hatch, NM 87937 - Phone
- (575) 267-3088
- Fax
- (575) 267-1747
- NPI assigned
- May 19, 2008
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| B-2746 | NM | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | B-2746 | NM | Yes |
Addresses
Primary practice location
255 Hwy 187
Hatch, NM 87937
Mailing address
PO Box 370
Hatch, NM 87937-0370
Phone (575) 267-3088
Other providers in Hatch, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.