MS. SUSAN LARAINE CHAMBLISS (NPI# 1184823973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184823973 |
| Entity Type | Individual |
| Full Name | MS. SUSAN LARAINE CHAMBLISS |
| Other Name | MRS. SUSAN LARIANE CAGE |
| Credential | LMSW |
| Practice Address |
1009 Main St Clovis NM 88101-3581 |
| Mailing Address |
1009 Main St Clovis NM 88101 |
| Practice Telephone | 5754208911 |
| Mailing Telephone | 5754208911 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2015-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
M-06140 | NM | Behavioral Health & Social Service Providers |
| Y | 1041S0200X |
Social Worker Specialization: School |
351856 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 91978831 | 05 |
| Street Address |
1009 MAIN ST |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-3581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609111434 | Sabrina Marie Dequattro | Social Worker | 100 Fowler Ave, #156, Clovis, CA 93611-0678 | 2012-12-05 |
| 1760099006 | Rozalyn Nicole Cox | Social Worker | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-09-30 |
| 1366093064 | Enrique Fernando Urioste | Social Worker | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2019-09-24 |
| 1205487907 | Sorina Renee Flores | Social Worker | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2019-09-24 |
| 1528619665 | Carly Martinez Voloto | Social Worker | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2019-09-20 |
| 1669023776 | Christina Sharon Bensfield | Social Worker | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2019-09-20 |
| 1942850193 | Janice Angelica Martinez | Social Worker | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2019-09-18 |
| 1568012870 | Seth Sebastian Baker | Social Worker | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2019-09-18 |
| 1265082663 | Edith Abigail Moreno | Social Worker | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2019-09-17 |
| 1942768601 | Alexandra Nichole Penland | Social Worker | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2019-03-12 |
| Find all providers in CLOVIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.