JEFFERY L HETRICK (NPI# 1255560330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255560330 |
| Entity Type | Individual |
| Full Name | JEFFERY L HETRICK |
| Credential | MSW |
| Practice Address |
1980 E Lohman Ave Suite B Las Cruces NM 88001-3194 |
| Practice Telephone | 5755269900 |
| Practice Fax Number | 5755238640 |
| Mailing Telephone | 5755269900 |
| Mailing Fax Number | 5755238640 |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | M-06487 | NM | Behavioral Health & Social Service Providers |
| Street Address |
1980 E LOHMAN AVE SUITE B |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001-3194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| 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 |
|---|---|---|---|---|
| 1952913378 | Teresa Lucia Samaniego | Social Worker | 755 S Telshor Blvd Ste 203, Las Cruces, NM 88011-4688 | 2020-08-18 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1790249316 | Angela Lynn Tellez | Social Worker | 755 S Telshor Blvd Ste 201b, Las Cruces, NM 88011-3647 | 2019-01-28 |
| 1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
| 1386120590 | Joe A Castillo | Social Worker | 1605 S Main St Bldg A, Las Cruces, NM 88005-3124 | 2018-07-11 |
| 1245758465 | Rodolfo Gabriel Martinez | Social Worker | 125 W Mountain Ave, Las Cruces, NM 88005-1826 | 2017-09-08 |
| 1093231821 | Andrea Mata | Social Worker | 501 N Roadrunner Pkwy Apt 2701, Las Cruces, NM 88011-2033 | 2017-08-14 |
| 1346780533 | Joy Doucette | Social Worker | 126 Oxford Dr, Las Cruces, NM 88005-1732 | 2017-03-07 |
| 1689126880 | Angelina Frias | Social Worker | 5083 Avenida Del Sol, Las Cruces, NM 88011 | 2016-11-04 |
| 1417409582 | Blanca Hernandez | Social Worker | 2805 Las Vegas Ct Ste B, Las Cruces, NM 88007-4108 | 2016-10-25 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
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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.