BRECKON N PATCH LCSW NPI 1255779872

Social Worker - Clinical in Las Cruces, NM

Individual Female Social Worker Clinical PECOS Enrolled

About BRECKON N PATCH LCSW

Breckon Patch is a provider established in Las Cruces, New Mexico and her medical specialization is Social Worker with a focus in clinical . The NPI number of Breckon Patch is 1255779872 and was assigned on June 2013. The practitioner's primary taxonomy code is 1041C0700X with license number C-09262 (NM). The provider is registered as an individual and her NPI record was last updated 7 years ago.

A clinical social worker like Breckon N Patch Lcsw is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

NPI

1255779872

Provider Name BRECKON N PATCH LCSW
Provider Location Address3100 OAK ST LAS CRUCES, NM 88005
Provider Mailing Address3100 OAK ST LAS CRUCES, NM 88005
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date06-05-2013
Last Update Date12-31-2015



Breckon Patch is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME)..

Breckon Patch is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code1041C0700X
ClassificationSocial Worker
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.C-09262
License StateNM
Taxonomy DescriptionA 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Business Address

BRECKON N PATCH LCSW
3100 OAK ST
LAS CRUCES, NM
ZIP 88005
Phone: (575) 323-3354
Fax: (575) 523-2299

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Mailing Address

BRECKON N PATCH LCSW
3100 OAK ST
LAS CRUCES, NM
ZIP 88005
Phone: (575) 323-3354
Fax: (575) 523-2299


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingNo
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
76104753MEDICAID (05)NM

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255779872
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210514718814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 4 + 7 + 1 + 8 + 8 + 1 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1255779872 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235579137AMISTAD MILESTONES LLC
Organization
Speech-Language Pathologist3100 OAK ST
LAS CRUCES, NM 88005
(575) 523-2288
1124401294 ROSINA B CARRASCO LMSW
Individual
Community/Behavioral Health3100 OAK ST
LAS CRUCES, NM 88005
(575) 523-2288
1891167789 MAGGIE ARMENDARIZ M.S.,CRC,
Individual
Counselor3100 OAK ST
LAS CRUCES, NM 88005
(575) 993-2982
1760830848MS. LILLIE M VEGA M.A.
Individual
Counselor (Mental Health)3100 OAK ST
LAS CRUCES, NM 88005
(575) 523-2288
1518316512 MELANIE DUNNE LMSW
Individual
Social Worker3100 OAK ST
LAS CRUCES, NM 88005
(575) 523-2288
1508260589MS. BEATRIZ FAVELA LMSW
Individual
Social Worker3100 OAK ST
LAS CRUCES, NM 88005
(575) 523-2288
1093842353MRS. ANGELA P MIRABAL LCSW
Individual
Social Worker (Clinical)3100 OAK ST
LAS CRUCES, NM 88005
(575) 323-3354
1457897316 BRITTANY MIERA
Individual
Social Worker3100 OAK ST
LAS CRUCES, NM 88005
(575) 523-2288
1588791800MS. THERESA LYNN DONAHUE LMSW
Individual
Social Worker (Clinical)3100 OAK ST SUITE 1
LAS CRUCES, NM 88005
(575) 323-3354
1629105960MS. GLENDA FAE HILLEY LMSW
Individual
Social Worker (School)3100 OAK ST
LAS CRUCES, NM 88005
(575) 323-3354
1184752370MS. KERRIN NOEL WILSON LISW
Individual
Social Worker3100 OAK ST
LAS CRUCES, NM 88005
(575) 323-3354
1003004359MR. JEREMY JAMES BALDILLEZ
Individual
Psychologist (School)3100 OAK ST
LAS CRUCES, NM 88005
(575) 323-3354
1134305881 JENNIFER BANEGAS
Individual
Psychologist (School)3100 OAK ST
LAS CRUCES, NM 88005
(575) 323-3354
1851624548MS. ALMA E DE LA O LISW
Individual
Social Worker (Clinical)3100 OAK ST
LAS CRUCES, NM 88005
(575) 323-3354
1114209665 EVELYN Y ANDERSON-MARTIN LMSW
Individual
Social Worker3100 OAK ST
LAS CRUCES, NM 88005
(575) 993-5225
1346616042 TAMERA NICOLE RASMUSSEN LMHC
Individual
Counselor (Mental Health)3100 OAK ST
LAS CRUCES, NM 88005
(575) 323-3354
1093221012 LILLIAN R JIMENEZ
Individual
Counselor3100 OAK ST
LAS CRUCES, NM 88005
(575) 523-2288
1326535840MS. TINA PARNES LMSW
Individual
Social Worker3100 OAK ST
LAS CRUCES, NM 88005
(575) 523-2288
1316431414AMISTAD CHILDREN'S THERAPIES
Organization
Speech-Language Pathologist3100 OAK ST
LAS CRUCES, NM 88005
(575) 636-7897
1588876460 ISABEL GONZALES LCSW
Individual
Social Worker (Clinical)3100 OAK ST
LAS CRUCES, NM 88005
(575) 323-3354

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Breckon N Patch Lcsw is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.