JEFFREY VERSAW (NPI# 1518103902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518103902 |
| Entity Type | Individual |
| Full Name | JEFFREY VERSAW |
| Credential | L.I.S.W. |
| Practice Address |
669 Terrace Ave. B Chama NM 87520 |
| Mailing Address |
Po Box 1502 Dulce NM 87528-1502 |
| Practice Telephone | 5752091250 |
| Mailing Telephone | 5752091250 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | I-05349 | NM | Behavioral Health & Social Service Providers |
| Street Address |
669 TERRACE AVE. B |
| City | CHAMA |
| State | NM |
| Zip Code | 87520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891203030 | Heather Noonan | Behavior Technician | 9 Hollow Oak Lane, Chama, NM 87520 | 2018-01-22 |
| 1922520667 | Bestcare Pharmacy Chama LLC | Pharmacy | 2215 State Road 17, #b, Chama, NM 87520 | 2017-07-14 |
| 1235473067 | Therapeutic Solutions of New Mexico | Community/Behavioral Health | 457 South Terrace Avenue, Chama, NM 87520 | 2012-11-16 |
| 1285987289 | Northwest Regional Education Cooperative #2 | Local Education Agency (LEA) | 182 North Pine, Bldg C, Chama, NM 87520 | 2012-10-16 |
| 1386918399 | Chama Valley Dental Care | Dentist | 451 Maple Ave., Chama, NM 87520 | 2012-03-08 |
| 1326323882 | Kathleen Lesh Smith | Massage Therapist | 16306-b Hwy. 84, Chama, NM 87520 | 2011-10-17 |
| 1679860175 | Patience Grasshopper Therapeutics | Specialist | 16306 B Hwy 84, Chama, NM 87520 | 2011-07-05 |
| 1508185638 | Karin L. Schaufele | Acupuncturist | 2523 Colin Road, Highway 64/84, Chama, NM 87520 | 2010-05-28 |
| 1598755076 | Samantha Lopez-hinds | Dental Hygienist | 211 North Pine, Chama, NM 87520 | 2005-10-25 |
| 1376814137 | Riverbear Counseling LLC | Counselor | 16306 Hwy 64/84, Chama, NM 87520 | 2012-01-25 |
| Find all providers in zip 87520 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774187 | Daniella Montoya | Social Worker | 869 Nm Highway 3, Ribera, NM 87560-9004 | 2020-09-10 |
| 1346855921 | Felicia Rosario Martinez | Social Worker | 211 County Road A6, Sapello, NM 87745-5031 | 2020-09-10 |
| 1952913378 | Teresa Lucia Samaniego | Social Worker | 755 S Telshor Blvd Ste 203, Las Cruces, NM 88011-4688 | 2020-08-18 |
| 1306456041 | Ashley Marie Vasquez | Social Worker | 6301 Nm Highway28, Anthony, NM 88021 | 2020-08-07 |
| 1114535192 | Troy Stephen Weeldreyer | Social Worker | 45 Pinsbaari Dr, Acoma, NM 87034 | 2020-07-16 |
| 1962020180 | Beatrice Tucker | Social Worker | 220 E Nizhoni Blvd Apt 10, Gallup, NM 87301-7111 | 2020-07-14 |
| 1467079863 | Jade Brown | Social Worker | 2517 Panorama Dr, Silver City, NM 88061-5834 | 2020-07-01 |
| 1730705773 | Virginia Garcia | Social Worker | 412 Asbury Rd Ne, Rio Rancho, NM 87124-5627 | 2020-06-24 |
| 1437778107 | Richelle Casey Hufnagel | Social Worker | 1500 N Silver St, Truth Or Consequences, NM 87901-1966 | 2020-04-13 |
| 1922635721 | Wendy Ludlow | Social Worker | 1033 Agua Fria St, Santa Fe, NM 87501-2433 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
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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.