ELLEN LORRAINE VAN DYKE CCSS
NPI 1285405175
Case Manager/Care Coordinator in Tijeras, NM

Active since January 10, 2024
1 CAMINO ORO CT, TIJERAS, NM 87059(706) 593-8731(706) 593-8732 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ellen Lorraine Van Dyke Ccss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN LORRAINE VAN DYKE CCSS (NPI 1285405175) is an individual case manager/care coordinator provider in Tijeras, New Mexico and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1285405175
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameELLEN LORRAINE VAN DYKECredential: CCSS
Location Address1 CAMINO ORO CTTijeras, NM 87059-7924
Mailing AddressPo Box 45681Rio Rancho, NM 87174-5681 · (505) 226-1960
Fax(706) 593-8732
Sole ProprietorNo
Enumeration DateJanuary 10, 2024
NPPES CertifiedJanuary 10, 2024
NPI 1285405175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

1 CAMINO ORO CT, Tijeras, NM 87059

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
1 CAMINO ORO CT
TIJERAS, NM 87059
Case Manager/Care Coordinator
1 CAMINO ORO CT
TIJERAS, NM 87059
Case Manager/Care Coordinator
1 CAMINO ORO CT
TIJERAS, NM 87059
Case Manager/Care Coordinator
1 CAMINO ORO CT
TIJERAS, NM 87059
Case Manager/Care Coordinator
1 CAMINO ORO CT
TIJERAS, NM 87059
Military Health Care Provider
1 CAMINO ORO CT
TIJERAS, NM 87059
Case Manager/Care Coordinator
1 CAMINO ORO CT
TIJERAS, NM 87059
Counselor (Mental Health)
1 CAMINO ORO CT
TIJERAS, NM 87059

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285405175, enumerated as an "individual" on January 10, 2024.

The provider is located at 1 CAMINO ORO CT TIJERAS, NM 87059 and the phone number is (706) 593-8731.

Case Manager/Care Coordinator with taxonomy code 171M00000X.