Individual provider · Type 1 NPI

Mark William Raybould, LISW

Clinical Social Worker · Albuquerque, NM

NPI number 1124095096 Active

Practice location

2811 Indian School Rd NE
Albuquerque, NM 87106-1825

Call (505) 573-4044 Map

Fax (505) 573-4044

Mailing address

PO Box 30811
Albuquerque, NM 87190-0811

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI-04965 (NM)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1124095096

Mark William Raybould, LISW's National Provider Identifier is 1124095096, issued on Mar 1, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 3, 2008.