Ruth Lynne Kelly, LMSW
Individual provider Active NPI Social Worker · To'Hajiilee, NM
NPI 1992999296 · NPPES record last updated Aug 16, 2012
Key facts
- NPI
- 1992999296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- M-06496 (NM)
- Practice address
- I40 W Exit 131 Highway 56 N
Acl Teen Centers to'Hajiilee Community School
To'Hajiilee, NM 87026 - Phone
- (505) 908-2377
- Fax
- (505) 908-2370
- NPI assigned
- Aug 29, 2007
- Sex
- Female
- Sole proprietor
- No
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-06496 | NM | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | M-06496 | NM | Yes |
Addresses
Primary practice location
I40 W Exit 131 Highway 56 N
Acl Teen Centers to'Hajiilee Community School
To'Hajiilee, NM 87026
Mailing address
2703 Frontier Ste 120
Unm PRC Acl Teen Centers MSC 11 6145
Albuquerque, NM 87131-0001
Phone (505) 272-4462
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84020229 | Medicaid | NM |
Other providers in To'Hajiilee, NM
- Brennia Delacruz
- Tyrone Etsitty
- Judith Gould
- Mariah Kayla Jake
- Jonathan John Johnson
- Elaine Little
- Kimberly Ann Madden
- Marian Nez
- Sheryl Ann O'Shea
- Demetria Robina Platero
All providers in To'Hajiilee, NM · 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 Aug 16, 2012. 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.