Chambliss, Susan Laraine

Chambliss, Susan Laraine is an individual health care provider with primary practice located at 2360 Indian Wells Rd , Alamogordo NM 88310-4609. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chambliss, Susan Laraine can be contacted via phone (575) 437-7404.

Contact Information

Primary practice address
2360 Indian Wells Rd Alamogordo NM 88310-4609
Phone: (575) 437-7404
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C-09921 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X C-09921 New Mexico

Profile Details

NPI number 1184823973
LBN Legal business name Chambliss, Susan Laraine
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Jan 16th, 2024 - about 10 months 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 1184823973 NPPES
New Mexico MEDICAID 91978831

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