Sally Hunter, LCSW

Individual provider Active NPI Clinical Social Worker · Jemez Springs, NM

NPI 1932527140 · NPPES record last updated Aug 26, 2022

Key facts

NPI
1932527140
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C-09374 (NM)
Practice address
17570 NM 4
Jemez Springs, NM 87025
Phone
(505) 250-3460
NPI assigned
Apr 3, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
C-09374NMMDClinical Social Worker
M-08442NMMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X M-08442 NM
Clinical Social Worker 1041C0700X C-09374 NM Yes

Addresses

Primary practice location

17570 NM 4
Jemez Springs, NM 87025

Mailing address

PO Box 156
Jemez Springs, NM 87025-0156
Phone (505) 250-3460

Other providers in Jemez Springs, NM

All providers in Jemez Springs, NM · Clinical Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.