| Mallory Hemerlein, LCSW | |
|
6501 4th St Nw Ste E2, Los Ranchos, NM 87107-5800 | |
| (505) 456-0619 | |
| Not Available |
| Full Name | Mallory Hemerlein |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 6501 4th St Nw Ste E2, Los Ranchos, 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 |
|---|---|---|---|
| 1174120687 | NPI | - | NPPES |
| 84724277 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | M-11344 (New Mexico) | Primary |
| Entity Name | Hot Rocks Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457036808 PECOS PAC ID: 2062861172 Enrollment ID: O20231221004154 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Hemerlein, LCSW 1808 Mann St Apt B, Santa Fe, NM 87505-3430 Ph: () - | Mallory Hemerlein, LCSW 6501 4th St Nw Ste E2, Los Ranchos, NM 87107-5800 Ph: (505) 456-0619 |
Jodie L Hart, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 608 Bledsoe Rd Nw, Los Ranchos, NM 87107 Phone: 505-450-8007 | |
Nina Tedone, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6501 4th St Nw Ste H, Los Ranchos, NM 87107 Phone: 505-433-7561 | |
Laura Ross Wood, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5720 El Prado Rd Nw, Los Ranchos, NM 87107 Phone: 505-699-5885 | |
Sheena Moe, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6501 4th St Nw, Los Ranchos, NM 87107 Phone: 505-433-7561 | |
Robyn E. Admire, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1776 Montano Rd Nw Bldg 3, Los Ranchos, NM 87107 Phone: 505-738-3698 | |
Sara Esquivel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6501 4th St Nw, Los Ranchos, NM 87107 Phone: 505-433-7561 |