NPI 1609965714 · live from the CMS NPI Registry
Kara J Andresen
Social Worker, Clinical in El Prado, NM. National Provider Identifier 1609965714, active.
NPI record
| NPI | 1609965714 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 4 Manzano Viejo, El Prado, NM 87529 |
| Practice phone | 575-741-0472 |
| Enumerated | October 12, 2006 |
| Last updated | July 28, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | I-07060 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.