Sylvia Baltazar, LMSW | |
400 N Pennsylvania Ave Ste 670b, Roswell, NM 88201-4755 | |
(575) 769-2345 | |
(575) 769-9013 |
Full Name | Sylvia Baltazar |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 400 N Pennsylvania Ave Ste 670b, Roswell, 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 |
---|---|---|---|
1477886414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | M-07853 (New Mexico) | Secondary |
1041C0700X | Social Worker - Clinical | C-09053 (New Mexico) | Primary |
Entity Name | Or Factor |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285177675 PECOS PAC ID: 8325300817 Enrollment ID: O20180321001267 |
Mailing Address | Practice Location Address |
---|---|
Sylvia Baltazar, LMSW 1100 W. 21st, Clovis, NM 88101 Ph: (575) 769-2345 | Sylvia Baltazar, LMSW 400 N Pennsylvania Ave Ste 670b, Roswell, NM 88201-4755 Ph: (575) 769-2345 |
Carla Cortez, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 E Mescalero Rd, Roswell, NM 88201 Phone: 575-755-2272 Fax: 575-622-3325 | |
Cari Ann Chavez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 45 N Sky Loop, Roswell, NM 88201 Phone: 575-208-8323 | |
Chuck Ivy, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1407 Highland Rd, Roswell, NM 88201 Phone: 575-208-2918 Fax: 575-208-2918 | |
Ms. Alexandra Hancock, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 72 Gail Harris St, Roswell, NM 88203 Phone: 575-347-3400 Fax: 575-347-3435 | |
Deborah Leone Geisler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 E Mescalero Rd, Roswell, NM 88201 Phone: 575-755-2272 Fax: 575-622-3325 | |
Misty Renee Sturtevant, , LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 110 E Mescalero Rd, Roswell, NM 88201 Phone: 575-755-2275 Fax: 575-622-3325 | |
Teresa Diane Williams, LMSW,,LADAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 72 Gail Harris St, Roswell, NM 88203 Phone: 575-347-3400 Fax: 575-347-5111 |