Carl Quintana, LMSW
Individual provider Active NPI Clinical Social Worker · Socorro, NM
NPI 1982374039 · NPPES record last updated Sep 20, 2021
Key facts
- NPI
- 1982374039
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- X-12154 (NM)
- Practice address
- 700 Franklin St
Socorro, NM 87801-4666 - Phone
- (505) 559-0946
- NPI assigned
- Sep 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| X-12154 | NM | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | X-12154 | NM | Yes |
Addresses
Primary practice location
700 Franklin St
Socorro, NM 87801-4666
Mailing address
3 Valle de Paz Cir
Belen, NM 87002-7565
Other providers in Socorro, NM
- Presbyterian Healthcare Services
- Presbyterian Healthcare Services
- Presbyterian Medical Services
- Presbyterian Medical Services
- Promises Kept Home Healthcare LLC
- Melody K Rattanapote-Malaney
- Amy Allison Ray
- Norman John Reid
- Kristi Resener
- Catherine L Rico
All providers in Socorro, 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 20, 2021. 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.