ELOVONNE J. BENALLY


Address: Us Hwy 64 Old High School Road, Shiprock, NM 87420
Phone: 5053685163

ELOVONNE J. BENALLY (NPI# 1023142858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023142858
Entity Type Individual
Full Name ELOVONNE J. BENALLY
Credential LISW MSW
Practice Address Us Hwy 64 Old High School Road
Shiprock
NM 87420
Mailing Address 30 Cr 6570 Nbu
#62a
Kirtland
NM 87417
Practice Telephone 5053685163
Practice Fax Number 5053685502
Mailing Telephone 5055985269
Enumeration Date 2007-03-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041S0200X Social Worker
Specialization: School
I-1309 NM Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 53186 05

Office Location

Street Address US HWY 64 OLD HIGH SCHOOL ROAD
City SHIPROCK
State NM
Zip Code 87420

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326108218 David J Reis Occupational Therapist Us Hwy 64 Old High School Road, Shiprock, NM 87420 2006-12-11
1437270642 Robyn Alyce Nelson Occupational Therapist Us Hwy 64 Old High School Road, Shiprock, NM 87420 2007-04-03
1023142965 Heidi E. Larson Speech-Language Pathologist Us Hwy 64 Old High School Road, Shiprock, NM 87420 2007-03-15
1770617524 Corina M. Martinez Speech-Language Pathologist Us Hwy 64 Old High School Road, Shiprock, NM 87420 2007-03-15
1285768093 Paula M. Magnuson Speech-Language Pathologist Us Hwy 64 Old High School Road, Shiprock, NM 87420 2007-03-15
1235262502 Cheryl Lea Oelze Speech-Language Pathologist Us Hwy 64 Old High School Road, Shiprock, NM 87420 2007-03-14
1689707960 David Charles Johnson Social Worker Us Hwy 64 Old High School Road, Shiprock, NM 87420 2007-03-14
1144353434 Susanne Wesemeyer-ortiz Physical Therapist Us Hwy 64 Old High School Road, Shiprock, NM 87420 2007-03-14
1518094184 Beverly Elaine Johnson Social Worker Us Hwy 64 Old High School Road, Shiprock, NM 87420 2007-02-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003424383 Ciara Hansen Psychologist Us- 491, Shiprock, NM 87420 2020-07-22
1013540848 Kelsi Marie Hartwig Dental Hygienist Highway 491 North, Yucca Street, Shiprock, NM 87420 2020-02-20
1194364232 Maria Sturtz Pharmacist Us Why 491 North, Shiprock, NM 87420 2020-01-06
1811533979 Merissa Jo De La Garza Pharmacist Highway 491 S, Shiprock, NM 87420 2019-11-25
1619528510 Heather Scott Psychologist Highway 64, Old High School Road, Shiprock, NM 87420 2019-09-23
1396305264 Malaura Creager Pharmacist North Hwy 491, Shiprock, NM 87420 2019-06-13
1275011488 Dawn Fowler Registered Nurse Us Highway 64, Shiprock, NM 87420 2018-07-31
1902384373 Brittany Jones Occupational Therapy Assistant Us 64, Old High School Rd., Shiprock, NM 87420 2018-07-30
1528561701 Patricia D Suarez Registered Nurse Central Consolidated School of New Mexico, Hwy 64, Old High School Road, Shiprock, NM 87420 2018-03-14
1023549284 Ellen Liversidge Speech-Language Pathologist Hwy 64, Old High School Rd., Shiprock, NM 87420 2017-03-21
Find all providers in zip 87420

Taxonomy Information

Taxonomy Code 1041S0200X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912545831 Tami Carol Miller Social Worker Us Hwy 64 Old High School Rd, Shiprock, NM 87420-8742 2019-12-11
1689707960 David Charles Johnson Social Worker Us Hwy 64 Old High School Road, Shiprock, NM 87420 2007-03-14
1518094184 Beverly Elaine Johnson Social Worker Us Hwy 64 Old High School Road, Shiprock, NM 87420 2007-02-28

Providers in the same taxonomy and state

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

Competitor

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City SHIPROCK
Zip Code 87420

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Dataset Information

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.

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