NPI 1306342787 · live from the CMS NPI Registry
Jeanette Olivia Antunez, LISW (CSW), LPN
Social Worker in Albuquerque, NM. National Provider Identifier 1306342787, active.
NPI record
| NPI | 1306342787 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 1025 Hermosa Dr Se, Albuquerque, NM 87108 |
| Practice phone | 505-237-0061 |
| Mailing address | 6901 Quarterhorse Ln Nw, Albuquerque, NM 87120 |
| Enumerated | April 3, 2018 |
| Last updated | April 3, 2018 |
| Sole proprietor | No |
| Other names | Jeanette Lucero |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | c-2702 (NM) |
| Social Worker primary | 104100000X | c-2702 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.