Su Vida is a Clinical in Santa Fe, New Mexico. Su Vida practices all healthcare services and medical treatments related to Clinical. The NPI Number for Su Vida is 1629009899. The last update date is 2020-08-22.
Su Vida's current location address is 1601a Saint Michaels Dr, Santa Fe, New Mexico. You can contact this provider via phone number 5059548777 and fax number 5059548793. The mailing address for Su Vida is 1601a Saint Michaels Dr, Santa Fe, New Mexico. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Su Vida |
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Address | 1601a Saint Michaels Dr, Santa Fe, New Mexico |
Phone Number | 5059548777 |
Fax Number | 5059548793 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Fitzpatrick J Carol |
Credentials | PHD |
Telephone Number | 5059548777 |
NPI Number Detail
NPI Number | 1629009899 |
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Provider Enumeration Date | 2006-07-06 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1601a Saint Michaels Dr |
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City | Santa Fe |
State | New Mexico (NM) |
Post Code | 875057614 |
Phone Number | 5059548777 |
Fax Number | 5059548793 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
78558 | NM | -- | |
NM600536 | NM | VALUE OPTIONS |
Post Comment/ Review Below
What is the unique identifier code issued to Su Vida by the Centers for Medicare & Medicaid Services (CMS)?
The Su Vida has been assigned the NPI (National Provider Identifier) 1629009899. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Su Vida's physical address?
The Su Vida is physically located at 1601A Saint Michaels Dr, in the city of Santa Fe, NM, with the postal code 875057614.
What is Su Vida's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Su Vida is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629009899 to Su Vida?
The Su Vida received its 1629009899 assignment from the Centers for Medicare & Medicaid Services on 2006-07-06.
As of what date was the information pertaining to Su Vida, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Su Vida, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.