MRS. BONNIE LOU FICK I (NPI# 1871628776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871628776 |
| Entity Type | Individual |
| Full Name | MRS. BONNIE LOU FICK I |
| Credential | LICSW |
| Practice Address |
1131 Tracy Place Carlsbad NM 88220 |
| Mailing Address |
1131 Tracy Place Carlsbad NM 88220-5270 |
| Practice Telephone | 5052343318 |
| Practice Fax Number | 5052343452 |
| Mailing Telephone | 5052343318 |
| Mailing Fax Number | 5052343452 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
I05545 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | S0147 | 05 |
| Street Address |
1131 TRACY PLACE |
| City | CARLSBAD |
| State | NM |
| Zip Code | 88220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1265958722 | Amanda Henry | Social Worker | 3000, West Church Street, Carlsbad, NM 88220 | 2017-08-16 |
| 1952827610 | Audriana B Martinez | Physical Therapy Assistant | 1038 Pinon Ln, Carlsbad, NM 88220 | 2017-08-15 |
| 1730538265 | Amber Bojorquez | Registered Nurse | 406 N. Alameda St., Carlsbad, NM 88220 | 2016-06-06 |
| 1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
| 1306220314 | Rocky Mountain Holdings, LLC | Ambulance | 1505 Terminal Dr, Carlsbad, NM 88220 | 2015-07-20 |
| 1578986402 | Sheryl L Dugger | Registered Nurse | 406 N. Alameda, Carlsbad, NM 88220 | 2014-01-29 |
| 1194153106 | Wellcare, Inc. | Hospice Care, Community Based | 220 S Canal St Ste B, Carlsbad, NM 88220 | 2013-10-30 |
| 1932537420 | Wellcare, Inc | Home Health | 220 S Canal St Ste A, Carlsbad, NM 88220 | 2013-10-22 |
| Find all providers in zip 88220 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265958722 | Amanda Henry | Social Worker | 3000, West Church Street, Carlsbad, NM 88220 | 2017-08-16 |
| 1174860183 | Lisa C Clouthier | Social Worker | 408 N. Canyon, Carlsbad, NM 88220 | 2013-01-10 |
| 1720497027 | Lydia Bryant Williams | Social Worker | 406 N. Alameda, Carlsbad, NM 88220 | 2014-08-12 |
| 1114336435 | Yvonne Jo Branch | Social Worker | 406 N. Alameda, Carlsbad, NM 88220 | 2014-08-12 |
| 1598005076 | Kyla Rae Stephens | Social Worker | 408 N. Canyon, Carlsbad, NM 88220 | 2013-02-21 |
| 1306184478 | Annie Renee Hanway | Social Worker | 408 N. Canyon, Carlsbad, NM 88220 | 2013-01-24 |
| 1144567165 | Sean Flynn Harrison | Social Worker | 408 N. Canyon, Carlsbad, NM 88220 | 2013-01-10 |
| 1154668168 | Geraldine T. Frye | Social Worker | 408 N. Canyon, Carlsbad, NM 88220 | 2013-01-10 |
| 1093967820 | Susan Lynn Martin | Social Worker | 408 N Canyon St, Carlsbad, NM 88220-5812 | 2008-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447894449 | Monica Villa | Social Worker | 30 Avenida Villa, Las Vegas, NM 87701-4486 | 2019-11-01 |
| 1194366393 | Kami Lea Donald | Social Worker | 4451 Wildflower Dr, Farmington, NM 87401-2846 | 2019-09-30 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1427516178 | Rachel M Roth | Social Worker | 305 Truman St Ne, Albuquerque, NM 87108-1318 | 2019-03-12 |
| 1386101905 | Yvonne Amberman | Social Worker | 3100 Jane Pl Ne Apt 106, Albuquerque, NM 87111-5140 | 2019-03-01 |
| 1568936433 | Diana M Pacheco | Social Worker | 901 Avenida De Las Campanas, Santa Fe, NM 87507-5369 | 2019-01-14 |
| 1639641368 | Elizabeth Adams | Social Worker | 125 N Collison Ave, Cimarron, NM 87714-8505 | 2018-12-19 |
| 1245709161 | John Nicholas Olson | Social Worker | 6800 Franklin Ne, Rio Rancho, NM 87144-7647 | 2018-11-20 |
| 1609355296 | Laura Salinas | Social Worker | 6400 Uptown Blvd Ne Ste 200, Albuquerque, NM 87110-4202 | 2018-08-14 |
| 1871079798 | Karrie Espinosa | Social Worker | 402 W Court Ave, Las Cruces, NM 88005-2596 | 2018-07-13 |
| 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.