| Jasper Mckay, Lcsw, Llc | |
|
4809 Todd St Ne Albuquerque NM 87109-2821 | |
| (505) 270-5577 | |
| Not Available |
| Full Name | Jasper Mckay, Lcsw, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4809 Todd St Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jasper Mckay (MANAGING EMPLOYEE/ OWNER) |
| Authorized Official Contact | 5052705577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jasper Mckay, Lcsw, Llc 4809 Todd St Ne Albuquerque NM 87109-2821 Ph: (505) 270-5577 | Jasper Mckay, Lcsw, Llc 4809 Todd St Ne Albuquerque NM 87109-2821 Ph: (505) 270-5577 |
| NPI Number | 1174242267 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 08/23/2022 |
| Certification Date | 08/23/2022 |
| Medicare PECOS PAC ID | 7810373347 |
|---|---|
| Medicare Enrollment ID | O20221006000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174242267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jasper L Mckay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497232649 PECOS PAC ID: 6800145038 Enrollment ID: I20180822000980 |
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