Rickie Agnetti, CSW
Individual provider Active NPI Peer Specialist · Farmington, NM
NPI 1679341697 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1679341697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 653 W Arrington St
Farmington, NM 87401-8513 - Phone
- (505) 564-3733
- NPI assigned
- Dec 19, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 11302023 | NM | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cottonwood Clinical Services, Inc. | Current |
Accepting new patients |
Locations
653 W Arrington St
Farmington, NM 87401
Phone (505) 564-3733
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 11302023 | NM | |
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
653 W Arrington St
Farmington, NM 87401-8513
Mailing address
653 W Arrington St
Farmington, NM 87401-8513
Other providers in Farmington, NM
- Daniel Taiwo Adeneye
- Adult & Pediatric Urology, LLC
- Advanced Gastroenterology Associates
- Natasha Agate
- Nicole Agnetti
- Jessica Aguilar
- Linlea Ahkeah
- Jordyn Ahlgrim
- Linsey Ann Ahmed
- Marion Ahmed
All providers in Farmington, NM · Peer Specialist 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 24, 2025. 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.