MARVENAR SMITH BACHELOR SOCIAL WORK
NPI 1679304455
Social Worker - School in Clovis, NM
Active since August 12, 2024
About Marvenar Smith Bachelor Social Work NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARVENAR SMITH BACHELOR SOCIAL WORK (NPI 1679304455) is an individual school provider in Clovis, New Mexico and active in the NPI registry since August 2024. She maintains a secondary practice location in Albuquerque.
NPPES Registry Identity
NPI1679304455
Entity TypeIndividualFemale
Primary Taxonomy1041S0200X
Provider Legal NameMARVENAR SMITHCredential: BACHELOR SOCIAL WORK
Location Address1200 N THORNTON ST STE FClovis, NM 88101-5508
Mailing Address1200 N Thornton St Ste FClovis, NM 88101-5508 · (575) 749-4529
Phone(575) 749-4529
Sole ProprietorYes
Enumeration DateAugust 12, 2024
NPPES CertifiedAugust 12, 2024
✔ NPI 1679304455 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
1200 N THORNTON ST STE F, Clovis, NM 88101
Secondary Practice Location 1
Location 13901 Georgia St NE Ste A4Albuquerque, NM 87110-1391 · Phone (505) 891-1583
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679304455, enumerated as an "individual" on August 12, 2024.
The provider is located at 1200 N THORNTON ST STE F CLOVIS, NM 88101 and the phone number is (575) 749-4529.
Social Worker with taxonomy code 1041S0200X and a focus in School.
