Didi Marie Josea, LMSW
Individual provider Active NPI Clinical Social Worker · Ganado, AZ
NPI 1780113340 · NPPES record last updated Jul 5, 2019
Key facts
- NPI
- 1780113340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- M-10119 (NM)
- Practice address
- 3.7 Miles SE of MP 455 Hwy 264
Ganado, AZ 86505 - Phone
- (928) 729-4012
- NPI assigned
- Jun 7, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X-10068 | NM | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | X-10068 | NM | |
| Clinical Social Worker | 1041C0700X | M-10119 | NM | Yes |
Addresses
Primary practice location
3.7 Miles SE of MP 455 Hwy 264
Ganado, AZ 86505
Mailing address
PO Box 921
Saint Michaels, AZ 86511-0921
Phone (928) 856-4338
Other providers in Ganado, AZ
- B Noelani Hong
- Matthew Walter Hucek
- Mohammad F Ilyas
- Chandara Im
- Harrison Jim
- Kasimu Frank Kalala
- Michael Anthony Kallsen
- Leroy John Klassen
- Richard Kim Laughter
- Cindy Lincoln
All providers in Ganado, AZ · Clinical Social Worker in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 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.