Yvette Gonzales, LBSW
Individual provider Active NPI School Social Worker · Bayard, NM
NPI 1962825018 · NPPES record last updated Jan 27, 2014
Key facts
- NPI
- 1962825018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Social Worker 1041S0200X
- License
- B-3973 (NM)
- Practice address
- 900 Central Ave
Bayard, NM 88023 - Phone
- (575) 537-4000
- Fax
- (575) 537-3921
- NPI assigned
- Jan 27, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| B-3973 | NM | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cobre Consolidated Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | B-3973 | NM | Yes |
Addresses
Primary practice location
900 Central Ave
Bayard, NM 88023
Mailing address
900 Central Ave
Bayard, NM 88023
Phone (575) 537-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000L1871 | Medicaid | NM |
Other providers in Bayard, NM
- Cindy Cruz
- Lila Denise Fajardo
- Brandon I Ferguson
- Katherine G Fletcher
- Fort Bayard Medical Center
- Angie O Guerra
- Rosemary L Gutierrez
- Hidalgo Medical Services
- Hidalgo Medical Services
- Brad K Holmgren
All providers in Bayard, NM · School 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 Jan 27, 2014. 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.