Organization · Type 2 NPI

Enchanted Healing of New Mexico LLC

Clinical Social Worker · Tijeras, NM

NPI number 1497073217 Active

Practice location

21 Kuhn Dr
Tijeras, NM 87059-8101

Mailing address

PO Box 23
Jemez Springs, NM 87025-0023

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XI-06142 (NM)
Pastoral Counselor 101YP1600XI-06142 (NM)
Clinical Social Worker Primary 1041C0700XI-06142 (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 1497073217

Enchanted Healing of New Mexico LLC's National Provider Identifier is 1497073217, issued on May 5, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tijeras, NM. The record was last updated on May 5, 2010.