Blanco, Rosalva

Blanco, Rosalva is an individual health care provider with primary practice located at 2625 Mcnutt Rd Ste B , Sunland Park NM 88063-9608. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Blanco, Rosalva can be contacted via phone (575) 589-6540.

Contact Information

Primary practice address
2625 Mcnutt Rd Ste B Sunland Park NM 88063-9608
Phone: (575) 589-6540
Fax: (575) 589-5864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X M-10979 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X C-12152 New Mexico

Profile Details

NPI number 1487212874
LBN Legal business name Blanco, Rosalva
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2019
Last updated May 4th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487212874 NPPES
New Mexico MEDICAID 16255267

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