Individual provider · Type 1 NPI

Carol Theodor Machendrie, LISW

Clinical Social Worker · Santa Fe, NM

NPI number 1831247014 Active

Practice location

125 E Palace Ave, Suite 44
Santa Fe, NM 87501-2085

Fax (505) 983-0871

Mailing address

7644 Old Santa Fe Trl
Santa Fe, NM 87505-9359

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI-0115 (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 1831247014

Carol Theodor Machendrie, LISW's National Provider Identifier is 1831247014, issued on Jan 6, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Fe, NM. The record was last updated on Jul 8, 2007.