Roldan, Maria De Jesus
Roldan, Maria De Jesus is an individual health care provider with primary practice located at 838 W Didier Ave , Belen NM 87002-3160. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roldan, Maria De Jesus can be contacted via phone (505) 312-0040.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SWB-2022-1033 | New Mexico |
Profile Details
| NPI number | 1790238343 |
|---|---|
| LBN Legal business name | Roldan, Maria De Jesus |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2016 |
| Last updated | Aug 12th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790238343 | NPPES |
| New Mexico | MEDICAID | 10124314 |
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