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Contact Information

MARIA I BAGWELL, LCSW, LADAC
100 W. GRIGGS AVE
LAS CRUCES, NM88001
 Phone: 575-647-2800
 Fax: 575-647-2898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MARIA I BAGWELL · (Female)

NPI Number 1588003123
Status Active
Credentials LCSW, LADAC
Entity Individual
Enumeration date 06/17/2013
Last updated 08/24/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 0115311
  • NM License # C-10108
  • NM License # M-08562
  • NM Medicaid 52379205
  • NM Other 620292YRND MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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