| Miss Agnes Dawn Rodriguez, PROVISIONAL LISW | |
|
2150 Highway 54 S, Alamogordo, NM 88310-7330 | |
| (575) 443-8133 | |
| (575) 443-8055 |
| Full Name | Miss Agnes Dawn Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 20 Years |
| Location | 2150 Highway 54 S, Alamogordo, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356579577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-07111 (New Mexico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Sky Counseling Associates | 7012256175 | 9 |
| Entity Name | Blue Sky Counseling Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154809283 PECOS PAC ID: 7012256175 Enrollment ID: O20190307000395 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Agnes Dawn Rodriguez, PROVISIONAL LISW Po Box 553, Hi Rls Mtn Pk, NM 88325-0553 Ph: (575) 443-6166 | Miss Agnes Dawn Rodriguez, PROVISIONAL LISW 2150 Highway 54 S, Alamogordo, NM 88310-7330 Ph: (575) 443-8133 |
Ana Rodriguez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2669 Scenic Dr, Alamogordo, NM 88310 Phone: 615-924-5444 | |
Candance Marie Clements, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1909 Cuba Ave, Alamogordo, NM 88310 Phone: 850-902-3332 | |
Mr. Anthony Herbert Wright, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1900 10th St, Alamogordo, NM 88310 Phone: 575-488-2500 | |
Janice Chacon, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 700 1st St Ste 707, Alamogordo, NM 88310 Phone: 575-415-4950 Fax: 575-377-8254 | |
Johnny Martin, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1900 10th St, Alamogordo, NM 88310 Phone: 505-437-7404 Fax: 505-439-2860 | |
Robin Davis, L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Wagon Wheel Rd, Alamogordo, NM 88310 Phone: 575-740-4053 |