Estela Irene Rodriguez, LMSW
Individual provider Active NPI School Social Worker · Hurley, NM
NPI 1598897092 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1598897092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Social Worker 1041S0200X
- License
- M3504 (NM)
- Practice address
- 207 A St
Hurley, NM 88043-9750 - Phone
- (505) 313-0973
- Fax
- (505) 872-3263
- NPI assigned
- Mar 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| M3504 | NM | MD | School Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | M3504 | NM | Yes |
Addresses
Primary practice location
207 A St
Hurley, NM 88043-9750
Mailing address
207 A St
Hurley, NM 88043-9750
Phone (505) 313-0973
Other providers in Hurley, NM
All providers in Hurley, NM · School 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 Jul 8, 2007. 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.