Estrella C. Apolonia, LISW

Individual provider Active NPI Clinical Social Worker · Mora, NM

NPI 1477739878 · NPPES record last updated Feb 6, 2013

Key facts

NPI
1477739878
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
I-07117 (NM)
Practice address
13 Mora Valley Clinic Rd.
Mora, NM 87732-0209
Phone
(575) 387-2201
Fax
(575) 387-9006
NPI assigned
Jan 15, 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)
Yes

State licenses

LicenseStateTypeSpecialty
I-07117NMMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-07117 NM Yes

Addresses

Primary practice location

13 Mora Valley Clinic Rd.
Mora, NM 87732-0209

Mailing address

PO Box 209
Mora, NM 87732-0209
Phone (575) 387-2201

Other identifiers

IdentifierTypeStateIssuer
048504MedicaidNM

Other names

  • Stella A. Delgado Former name

Other providers in Mora, NM

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

Sources for this page

Verify at the official NPI Registry.