Diana M Armijo, LMSW

Individual provider Active NPI Clinical Social Worker · Espanola, NM

NPI 1467987396 · NPPES record last updated Apr 28, 2017

Key facts

NPI
1467987396
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
M-09876 (NM)
Practice address
2010 Industrial Park Rd
Espanola, NM 87532-3600
Phone
(505) 753-7395
Fax
(505) 753-8373
NPI assigned
Apr 28, 2017
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

LicenseStateTypeSpecialty
M-09876NMMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X M-09876 NM Yes

Addresses

Primary practice location

2010 Industrial Park Rd
Espanola, NM 87532-3600

Mailing address

PO Box 158
Espanola, NM 87532-0158
Phone (505) 753-7218

Other providers in Espanola, NM

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

Sources for this page

Verify at the official NPI Registry.