Peter Birkholz
Individual provider Active NPI Clinical Social Worker · Silver City, NM
NPI 1760839344 · NPPES record last updated May 24, 2016
Key facts
- NPI
- 1760839344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 3333 (SD)
- Practice address
- 13 Chaparral TRL
Silver City, NM 88061-9131 - Phone
- (307) 254-5648
- NPI assigned
- May 24, 2016
- Sex
- Male
- 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 |
|---|---|---|---|
| 3333 | SD | MD | Cardiovascular Disease Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3333 | SD | Yes |
Addresses
Primary practice location
13 Chaparral TRL
Silver City, NM 88061-9131
Mailing address
13 Chaparral TRL
Silver City, NM 88061-9131
Phone (307) 254-5648
Other providers in Silver City, NM
- Jillian Rae Bernstein
- John Berry
- Pratiksha Deenesh Bhaleeya
- Bhisit Bhothinard
- Margaret Billings
- Matthew Blair
- Karen S. Blisard
- Autumn Blume
- Debbra Bonney
- Caytlyn Foy Bonura
All providers in Silver City, 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 May 24, 2016. 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.