| Diane R Mead, MSW, LISW | |
|
2727 San Pedro Dr Ne, Ste 105, Albuquerque, NM 87110-3373 | |
| (505) 232-8404 | |
| (505) 884-1625 |
| Full Name | Diane R Mead |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 39 Years |
| Location | 2727 San Pedro Dr Ne, Albuquerque, New Mexico |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366430373 | NPI | - | NPPES |
| NMB2204 | Other | NM | MEDICARE PROVIDER # |
| 95616 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-0922 (New Mexico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elevation Counseling Llc | 6507209236 | 16 |
| Entity Name | Elevation Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831514520 PECOS PAC ID: 6507209236 Enrollment ID: O20240208004040 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane R Mead, MSW, LISW Po Box 30024, Albuquerque, NM 87190-0024 Ph: (505) 232-8404 | Diane R Mead, MSW, LISW 2727 San Pedro Dr Ne, Ste 105, Albuquerque, NM 87110-3373 Ph: (505) 232-8404 |
Mrs. Jeniffer Lynn Lang, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2530 Virginia St Ne Ste 400, Albuquerque, NM 87110 Phone: 505-291-6314 | |
Ms. Danelle W Marshall, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102 Phone: 505-268-0701 Fax: 270-689-6677 | |
Mariah Vasquez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1709 Moon St Ne, Albuquerque, NM 87112 Phone: 505-271-0329 | |
Anna Marie Gonzales, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1709 Moon St Ne, Albuquerque, NM 87112 Phone: 505-271-0329 | |
Lyric Lawson-parks, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 707 Broadway Blvd Ne, Albuquerque, NM 87102 Phone: 505-268-0701 Fax: 270-689-6677 | |
Samuel Hufnagel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 4th St Nw Ste 102, Albuquerque, NM 87102 Phone: 505-705-9636 | |
Bintou Demba, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5203 Juan Tabo Blvd Ne, Albuquerque, NM 87111 Phone: 505-550-1011 |