Individual provider · Type 1 NPI

Tilda Kimura Bulanon-Chavez

Clinical Social Worker · Albuquerque, NM

NPI number 1699788802 Active

Practice location

1501 San Pedro Dr SE
Albuquerque, NM 87108-5153

Mailing address

101 White Horse Ln
Corrales, NM 87048-8753

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI-4196 (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 1699788802

Tilda Kimura Bulanon-Chavez's National Provider Identifier is 1699788802, issued on Aug 15, 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 Jul 8, 2007.