Raley, Paula L

Raley, Paula L is an individual health care provider with primary practice located at 2112 Main Street Ne Suite A, Los Lunas NM 87031. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Raley, Paula L can be contacted via phone (505) 916-5900.

Contact Information

Primary practice address
2112 Main Street Ne Suite A Los Lunas NM 87031
Fax: (505) 916-5901
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X M07384 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X New Mexico

Profile Details

NPI number 1437464138
LBN Legal business name Raley, Paula L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2010
Last updated Sep 11th, 2015 - about 9 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 1437464138 NPPES
New Mexico MEDICAID 49335871

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