Josefina Estrada
Individual provider Active NPI School Social Worker · Sunalnd Park, NM
NPI 1992917835 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992917835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Social Worker 1041S0200X
- License
- M-05618 (NM)
- Practice address
- 4950 MC Nutt Rd
Sunalnd Park, NM 88063 - Phone
- (505) 882-6200
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| M-05618 | NM | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gadsden Independent School District | Past | Accepting new patients | |
| Gadsden Independent School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | M-05618 | NM | Yes |
Addresses
Primary practice location
4950 MC Nutt Rd
Sunalnd Park, NM 88063
Mailing address
P.O. Drawer 70
Anthony, NM 88021
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.