Wellformed AI

NPI 1649834771 · live from the CMS NPI Registry

Amy Dondanville LCSW, LLC

Social Worker, Clinical in Taos, NM. National Provider Identifier 1649834771, active.

NPI record

NPI1649834771 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location522 Paseo Del Pueblo Norte, Taos, NM 87571
Practice phone575-224-2710
Mailing addressPo Box 537, Taos, NM 87571
EnumeratedApril 24, 2019
Last updatedJuly 5, 2019
Authorized officialApril Bancroft, Dir Of Operations

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.