Individual provider · Type 1 NPI

Mkayla Taylor Ellsworth, LBSW, BS

School Social Worker · Bloomfield, NM

NPI number 1306674700 Active

Practice location

520 N 1st St
Bloomfield, NM 87413-5307

Call (505) 634-3400 Map

Mailing address

325 N Bergin Ln
Bloomfield, NM 87413-6729

Specialties and licenses

TaxonomyCodeLicense
School Social Worker Primary 1041S0200XSWB-2024-0680 (NM)

School Social Worker: Definition to come...

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About NPI 1306674700

Mkayla Taylor Ellsworth, LBSW, BS's National Provider Identifier is 1306674700, issued on Jul 25, 2024. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Bloomfield, NM. The record was last updated on Jul 25, 2024.