Mayfield, Katja
Mayfield, Katja is an individual health care provider with primary practice located at 1990 E Lohman Ave Ste 225 , Las Cruces NM 88001-3172. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mayfield, Katja can be contacted via phone (575) 571-2743.Contact Information
Primary practice address
1990 E Lohman Ave Ste 225
Las Cruces NM 88001-3172
Phone: (575) 571-2743
Fax: (575) 521-9215
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C-3644 | New Mexico |
Profile Details
| NPI number | 1679639645 |
|---|---|
| LBN Legal business name | Mayfield, Katja |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Jun 5th, 2017 - about 7 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 | 1679639645 | NPPES |
| New Mexico | MEDICAID | 000000S0568 | |
| New Mexico | MEDICAID | 10075381 |
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