Joshua Beare, CSW

Individual provider Active NPI Case Manager/Care Coordinator · Clovis, NM

NPI 1982395679 · NPPES record last updated Jun 15, 2023

Key facts

NPI
1982395679
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1200 N Thornton St Ste H
Clovis, NM 88101-5508
Phone
(575) 935-4411
Fax
(575) 935-0400
NPI assigned
May 15, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Matt 25 Inc. Current
since May 21, 2023
Accepting new patients

Locations

1200 N Thornton St
Ste H
Clovis, NM 88101
Phone (575) 935-4411

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1200 N Thornton St Ste H
Clovis, NM 88101-5508

Mailing address

1200 N Thornton St Ste H
Clovis, NM 88101-5508
Phone (575) 935-4411

Other providers in Clovis, NM

All providers in Clovis, NM · Case Manager/Care Coordinator in New Mexico

Sources for this page

Verify at the official NPI Registry.