Josefina Ramirez Mendoza, SOCIAL WORKER

Individual provider Active NPI Clinical Social Worker · Deming, NM

NPI 1336472844 · NPPES record last updated Oct 6, 2009

Key facts

NPI
1336472844
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
T-0122731 (NM)
Practice address
125 Chaparrel Blvd NW
Deming, NM 88030-8629
Phone
(575) 546-4800
Fax
(575) 546-0685
NPI assigned
Sep 15, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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
T-0122731NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ben Archer Health Center Past Accepting new patients
Ben Archer Health Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X T-0122731 NM Yes

Addresses

Primary practice location

125 Chaparrel Blvd NW
Deming, NM 88030-8629

Mailing address

PO Box 370
Hatch, NM 87937-0370
Phone (575) 267-3280

Other providers in Deming, NM

All providers in Deming, NM · Clinical Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.