Foster, Venecia Rashonda
Foster, Venecia Rashonda is an individual health care provider with primary practice located at Highway 64, Old High School Road , Shiprock NM 87420-4461. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Foster, Venecia Rashonda can be contacted via phone (470) 231-8801.Contact Information
Primary practice address
Highway 64, Old High School Road
Shiprock NM 87420-4461
Phone: (470) 231-8801
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 33010572A | Indiana |
| Behavioral Health & Social Service Providers / School | 1041S0200X | M-11926 | New Mexico |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | MSW008596 | Georgia |
Profile Details
| NPI number | 1093486664 |
|---|---|
| LBN Legal business name | Foster, Venecia Rashonda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2021 |
| Last updated | Jan 19th, 2024 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093486664 | NPPES |
| New Mexico | MEDICAID | J7695 |
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