| Integrition, LLC | |
|
6801 Jefferson St Ne Ste 301 Albuquerque NM 87109-7390 | |
| (505) 600-1808 | |
| (505) 636-9971 |
| Full Name | Integrition, LLC |
|---|---|
| Speciality | Social Worker |
| Location | 6801 Jefferson St Ne Ste 301, Albuquerque, New Mexico |
| Authorized Official Name and Position | Laura Wood (OWNER) |
| Authorized Official Contact | 5059772007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrition, LLC 5720 El Prado Rd Nw Los Ranchos NM 87107-6310 Ph: (505) 600-1808 | Integrition, LLC 6801 Jefferson St Ne Ste 301 Albuquerque NM 87109-7390 Ph: (505) 600-1808 |
| NPI Number | 1013716034 |
|---|---|
| Provider Enumeration Date | 03/11/2025 |
| Last Update Date | 03/22/2025 |
| Certification Date | 03/22/2025 |
| Medicare PECOS PAC ID | 0648793612 |
|---|---|
| Medicare Enrollment ID | O20250331002168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013716034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Laura Ross Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174294532 PECOS PAC ID: 5294277083 Enrollment ID: I20240607002370 |
| Provider Name | Kelley Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700112976 PECOS PAC ID: 5395286553 Enrollment ID: I20240916002597 |
| Provider Name | Eliseo Cisneros |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366174229 PECOS PAC ID: 9436685807 Enrollment ID: I20241216003618 |
| Provider Name | Angela Horvath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932621901 PECOS PAC ID: 3072962299 Enrollment ID: I20260316003476 |
| Provider Name | Melissa Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437706439 PECOS PAC ID: 2466867916 Enrollment ID: I20260331004575 |
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