Marc Paley
Individual provider Active NPI Social Worker · Deming, NM
NPI 1578100749 · NPPES record last updated Dec 5, 2019
Key facts
- NPI
- 1578100749
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- X-11239 (NM)
- Practice address
- 1321 E Poplar St
Deming, NM 88030-4807 - Phone
- (575) 546-5951
- Fax
- (575) 546-5994
- NPI assigned
- Dec 5, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| X-11239 | NM | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Regional Education Cooperative | Current |
Accepting new patients |
Locations
1321 E Poplar St
Deming, NM 88030
Phone 5755465951 ext. 3005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | X-11239 | NM | Yes |
Addresses
Primary practice location
1321 E Poplar St
Deming, NM 88030-4807
Mailing address
1321 E Poplar St
Deming, NM 88030-4807
Phone (575) 546-5951
Other providers in Deming, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2019. 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.