Mary Jo H Shortes, LISW
Individual provider Active NPI Clinical Social Worker · Reserve, NM
NPI 1730312489 · NPPES record last updated Jan 24, 2012
Key facts
- NPI
- 1730312489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I-06997 (NM)
- Practice address
- #1 Foster Road
Reserve, NM 87830 - Phone
- (575) 533-6456
- Fax
- (575) 533-6767
- NPI assigned
- Aug 28, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Border Area Mental Health Services, Inc | Past |
Accepting new patients | |
| New Mexico Health Options | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-06997 | NM | Yes |
Addresses
Primary practice location
#1 Foster Road
Reserve, NM 87830
Mailing address
PO Box 710
Reserve, NM 87830-0710
Phone (575) 533-6456
Other names
- Mary Jo Heimbigner
Other providers in Reserve, NM
- Jenifer Ann Deziel
- Troy Lee Garey
- Marcia J. Glick
- Janice L Kiehne
- Edwin Emmanuel Nebblett
- Joyce Ann Stigge
- Robert Stoops
All providers in Reserve, NM · Clinical 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 Jan 24, 2012. 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.