Individual provider · Type 1 NPI

Roderick Denetso, LMSW

Clinical Social Worker · Farmington, NM

NPI number 1265365571 Active

Practice location

2001 N Cochiti Ave
Farmington, NM 87401-4237

Mailing address

4601 Summer Wind
Farmington, NM 87401-4424

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSWB-2023-0701 (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 1265365571

Roderick Denetso, LMSW's National Provider Identifier is 1265365571, issued on Jun 5, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Farmington, NM. The record was last updated on Jun 5, 2026.