Maccracken, Joan
Maccracken, Joan is an individual health care provider with primary practice located at 125 La Posta Rd Ste 6 , Taos NM 87571-7242. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Maccracken, Joan can be contacted via phone (575) 770-3126.Contact Information
Primary practice address
125 La Posta Rd Ste 6
Taos NM 87571-7242
Phone: (575) 770-3126
Fax: (888) 827-0978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | M -05383 | New Mexico |
Profile Details
| NPI number | 1407993934 |
|---|---|
| LBN Legal business name | Maccracken, Joan |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Sep 20th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407993934 | NPPES |
| New Mexico | MEDICAID | 91385547 |
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