| Ryan Delaware, | |
|
239 Elm St Ne, Albuquerque, NM 87102-3672 | |
| (207) 939-0019 | |
| Not Available |
| Full Name | Ryan Delaware |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 12 Years |
| Location | 239 Elm St Ne, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104247956 | NPI | - | NPPES |
| 31477232 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (New Mexico) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Albuquerque Health Care For The Homeless, Inc | 4981903754 | 10 |
| Entity Name | Albuquerque Health Care For The Homeless, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144315615 PECOS PAC ID: 4981903754 Enrollment ID: O20210119001210 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Delaware, 239 Elm St Ne, Albuquerque, NM 87102-3672 Ph: (207) 939-0019 | Ryan Delaware, 239 Elm St Ne, Albuquerque, NM 87102-3672 Ph: (207) 939-0019 |
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 |