Laurie A Engelhard
Individual provider Active NPI Social Worker · Mountainair, NM
NPI 1457583304 · NPPES record last updated Sep 7, 2016
Key facts
- NPI
- 1457583304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 10419999X (NM)
- Practice address
- 105 E Pinon St.
Mountainair, NM 87036-0787 - Phone
- (505) 847-2277
- Fax
- (505) 847-0513
- NPI assigned
- Aug 11, 2009
- 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 |
|---|---|---|---|
| 10419999X | NM | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 10419999X | NM | Yes |
Addresses
Primary practice location
105 E Pinon St.
Mountainair, NM 87036-0787
Mailing address
PO Box 787
Mountainair, NM 87036-0787
Phone (505) 847-2277
Other providers in Mountainair, NM
- Lori Alison Autrey
- Susan Kay Banks
- Marie Justine Cadieux
- City of Mountainair
- Tanna M Corral
- Frances Roggen, P.T., P.a.
- Michael Archie Hays
- Mountainair Meds & More, LLC
- Yvonne Nunez
- Presbyterian Medical Services
All providers in Mountainair, NM · Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2016. 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.