Carrillo, Ilse Aimee

Carrillo, Ilse Aimee is an individual health care provider with primary practice located at 826 Anthony Dr , Anthony NM 88021-9317. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Carrillo, Ilse Aimee can be contacted via phone (575) 201-5135.

Contact Information

Primary practice address
826 Anthony Dr Anthony NM 88021-9317
Phone: (575) 201-5135
Fax: (575) 449-4052
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X New Mexico
Behavioral Health & Social Service Providers / Social Worker 104100000X X-12088 New Mexico

Profile Details

NPI number 1659949410
LBN Legal business name Carrillo, Ilse Aimee
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2021
Last updated Feb 9th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659949410 NPPES
New Mexico MEDICAID 46039767

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