| Erin M Lilly Lcsw Llc | |
|
3321b Candelaria Rd Ne Ste 406 Albuquerque NM 87107-1908 | |
| (575) 386-7744 | |
| Not Available |
| Full Name | Erin M Lilly Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3321b Candelaria Rd Ne Ste 406, Albuquerque, New Mexico |
| Authorized Official Name and Position | Mari-anne Chaney (OFFICE MANAGER) |
| Authorized Official Contact | 5055543435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erin M Lilly Lcsw Llc Po Box 2455 Tijeras NM 87059-2455 Ph: (575) 386-7744 | Erin M Lilly Lcsw Llc 3321b Candelaria Rd Ne Ste 406 Albuquerque NM 87107-1908 Ph: (575) 386-7744 |
| NPI Number | 1649870346 |
|---|---|
| Provider Enumeration Date | 10/30/2020 |
| Last Update Date | 02/04/2022 |
| Certification Date | 01/18/2022 |
| Medicare PECOS PAC ID | 5890187298 |
|---|---|
| Medicare Enrollment ID | O20220114001777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649870346 | NPI | - | NPPES |
| 87439786 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Erin Lilly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609251917 PECOS PAC ID: 6406146216 Enrollment ID: I20220209001673 |
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