Individual provider · Type 1 NPI

Marilyn Niomie Fraga

Clinical Social Worker · Santa Teresa, NM

NPI number 1356218952 Active

Practice location

5065 Mcnutt Rd
Santa Teresa, NM 88008-9442

Call (915) 740-4894 Map

Mailing address

4600 Fairbanks Dr Apt 1117
El Paso, TX 79924-3746

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSWB-2025-0415 (TX)

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 1356218952

Marilyn Niomie Fraga's National Provider Identifier is 1356218952, issued on Oct 20, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Teresa, NM. The record was last updated on Dec 10, 2025.