DESERII MONDRAGON LMSW
NPI 1073093324
Social Worker - School in Artesia, NM
Active since August 16, 2018
About Deserii Mondragon Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DESERII MONDRAGON LMSW (NPI 1073093324) is an individual school provider in Artesia, New Mexico, licensed in New Mexico (M-10245) and active in the NPI registry since August 2018.
NPPES Registry Identity
NPI1073093324
Entity TypeIndividualFemale
Primary Taxonomy1041S0200X
Provider Legal NameDESERII MONDRAGONCredential: LMSW
Location Address405 S 6TH STArtesia, NM 88210-2079
Mailing Address301 Bulldog BlvdArtesia, NM 88210-1731 · (575) 746-3585
Phone(575) 746-4811
Sole ProprietorNo
Enumeration DateAugust 16, 2018
✔ NPI 1073093324 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License✔ Licensed in NM · M-10245
405 S 6TH ST, Artesia, NM 88210
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073093324, enumerated as an "individual" on August 16, 2018.
The provider is located at 405 S 6TH ST ARTESIA, NM 88210 and the phone number is (575) 746-4811.
Social Worker with taxonomy code 1041S0200X and a focus in School.