NPI 1154919694 · live from the CMS NPI Registry
Able Clinical Services INC.
Social Worker, Clinical in Bloomfield, NM. National Provider Identifier 1154919694, active.
NPI record
| NPI | 1154919694 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 100 N Church St Ste B, Bloomfield, NM 87413 |
| Practice phone | 505-333-7219 |
| Enumerated | January 8, 2021 |
| Last updated | January 8, 2021 |
| Authorized official | Kristi Coddington, Registered Agent |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health | 251S00000X | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | — |
| Clinic/Center, Adolescent and Children Mental Health | 261QM0855X | — |
| Clinic/Center, Rural Health | 261QR1300X | — |
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.