Wellformed AI

NPI 1205575263 · live from the CMS NPI Registry

Anna Rider LLC

Social Worker, Clinical in Santa Fe, NM. National Provider Identifier 1205575263, active.

NPI record

NPI1205575263 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location1421 Luisa St Ste O, Santa Fe, NM 87505
Practice phone505-690-8618
EnumeratedMay 28, 2022
Last updatedJune 20, 2022
Authorized officialAnna Rider, LCSW

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.