Individual provider · Type 1 NPI
Stacy L. Gruber, CPSW
Peer Specialist · Fort Wingate, NM
NPI number
1891669172
Active
Practice location
PO Box 533
Fort Wingate, NM 87316-0533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 1509 (NM) |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
About NPI 1891669172
Stacy L. Gruber, CPSW's National Provider Identifier is 1891669172, issued on Oct 1, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fort Wingate, NM. The record was last updated on Oct 1, 2025.