Tricia Ann Shell, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Santa Fe, NM
NPI 1982127353 · NPPES record last updated Sep 8, 2023
Key facts
- NPI
- 1982127353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C-11512 (NM)
- Practice address
- 4730 Beckner Road
Santa Fe, NM 87507 - Phone
- (505) 989-4500
- Fax
- (505) 443-8313
- NPI assigned
- Jul 18, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210111000491 | NM | Practitioner - Clinical Social Worker | 9335552421 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-11512 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Medical Services | Current | Accepting new patients | |
| Presbyterian Medical Services | Current |
Accepting new patients | |
| Presbyterian Medical Services | Current |
Accepting new patients |
Locations
2960 Rodeo Park Dr W
Santa Fe, NM 87505
Phone (505) 986-9633
1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565
4730 Beckner Rd
Santa Fe, NM 87507
Phone (505) 989-4500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-11512 | NM | Yes |
Addresses
Primary practice location
4730 Beckner Road
Santa Fe, NM 87507
Mailing address
4730 Beckner Road
Santa Fe, NM 87507
Phone (505) 989-4500
Other providers in Santa Fe, NM
- Carolyn Shayte
- Claudia Kaye Sheils
- Leora Ellen Shein
- Alisha Nicole Shelbourn
- Phoebe Wakerobin Sheldon Young
- Susan Shelley
- Sheltered Living, Inc.
- Kellie Shelton
- Diane Shenk
- Blair W Shepard
All providers in Santa Fe, NM · Clinical 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 Sep 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.