Mary Kathleen Slattery, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I04678 Issued in NM

Practice address

3949 Corrales Rd
Ste 180
Corrales, NM 87048-9349

Phone

(505) 440-2581

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kathleen Slattery Professional name

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Control Over Anxiety, LLC

  • Psychiatry Physician
  • Corrales, NM
  • NPI 1437527660
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1871504274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 CORRALES RD",
            "address_2": "STE 180",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870489349",
            "telephone_number": "505-440-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 CORRALES RD",
            "address_2": "STE 180",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870489349",
            "telephone_number": "505-440-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATTERY",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I04678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "SLATTERY",
            "credential": "LISW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kenneth Justin Schwartz, BCBA
• Serenity Therapeutic Services LLC
• Seva Pain and Wellness
• Rachel Louise Sheahan
• Lee S. Shuster, LISW, LCSW
• Kristine Susan Souza, LMFT
• David Ellis Stinchcomb, M.D.
• C Dayne Sultrmeier Williams, OT
• Ana Sutulov Marin, CPT
• Shelby R Tarango, OT

• Clinical Social Worker in Corrales, NM
• Providers in Corrales, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.