Maryann Wadden

Individual provider Active NPI School Social Worker · Estancia, NM

NPI 1922860741 · NPPES record last updated Jan 26, 2024

Key facts

NPI
1922860741
Entity type
Individual (NPI type 1)
Primary specialty
School Social Worker 1041S0200X
Practice address
300 N 9TH St
Estancia, NM 87016
Phone
(708) 491-8964
NPI assigned
Jan 26, 2024
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)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X Yes

Addresses

Primary practice location

300 N 9TH St
Estancia, NM 87016

Mailing address

PO Box 68
Estancia, NM 87016-0068

Other providers in Estancia, NM

All providers in Estancia, NM · School Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.