| Michelle Ball, LCSW | |
|
1135 Butterfly Road, Taos, NM 87571 | |
| (575) 751-7688 | |
| (575) 751-7208 |
| Full Name | Michelle Ball |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1135 Butterfly Road, Taos, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922331966 | NPI | - | NPPES |
| L7904 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C-10158 (New Mexico) | Primary |
| 104100000X | Social Worker | M-08937 (New Mexico) | Secondary |
| Entity Name | Unm Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Ball, LCSW 800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310 Ph: (505) 272-1476 | Michelle Ball, LCSW 1135 Butterfly Road, Taos, NM 87571 Ph: (575) 751-7688 |
Nakeesha Haelen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Paseo Del Canon W Ste A, Taos, NM 87571 Phone: 575-758-5857 Fax: 575-758-5860 | |
Ms. Linda Jean Todd, M.S.S.W., A.C.S.W., Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 Las Cruces Rd., Unit E, Taos, NM 87571 Phone: 505-758-3533 | |
Mrs. Rose Mary Medina-dominguez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 105 Bertha Rd Ste B, Taos, NM 87571 Phone: 575-758-4297 | |
Ms. Carol Wells, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 Lund St., Taos, NM 87571 Phone: 575-770-2415 Fax: 575-758-3471 | |
Erick A Struck, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1331 Gusdorf Rd, Taos, NM 87571 Phone: 575-758-3601 Fax: 575-758-1058 | |
Maria Montoya, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Bertha Rd Ste B, Taos, NM 87571 Phone: 575-758-4297 | |
Ms. Joey Blue, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 822b Paseo Del Pubelo Sur, Taos, NM 87571 Phone: 505-758-9511 Fax: 505-758-9511 |