BRENT MULL (NPI# 1467811604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467811604 |
| Entity Type | Individual |
| Full Name | BRENT MULL |
| Practice Address |
750 Morris Rd Se Los Lunas NM 87031-5242 |
| Mailing Address |
2551 Coors Blvd Nw Albuquerque NM 87120-1213 |
| Practice Telephone | 5058662300 |
| Mailing Telephone | 5053383320 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | M-06741 | NM | Behavioral Health & Social Service Providers |
| Street Address |
750 MORRIS RD SE |
| City | LOS LUNAS |
| State | NM |
| Zip Code | 87031-5242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073542833 | Katherine Denise Dudley | Counselor | 750 Morris Rd Se, Los Lunas, NM 87031-5242 | 2006-07-02 |
| 1548620164 | Leona Peseke | Counselor | 750 Morris Rd Se, Los Lunas, NM 87031-5242 | 2016-02-24 |
| 1790159036 | Gilbert Romero | Counselor | 750 Morris Rd Se, Los Lunas, NM 87031-5242 | 2015-11-24 |
| 1134503972 | Valerie Romero | Counselor | 750 Morris Rd Se, Los Lunas, NM 87031-5242 | 2015-07-10 |
| 1023406535 | Gloria Galvan-caes | Counselor | 750 Morris Rd Se, Los Lunas, NM 87031-5242 | 2015-01-06 |
| 1487059911 | Sabrina Joshaway-hintz | Counselor | 750 Morris Rd Se, Los Lunas, NM 87031-5242 | 2014-10-27 |
| 1013310366 | Sergio Cianci | Counselor | 750 Morris Rd Se, Los Lunas, NM 87031-5242 | 2014-10-01 |
| 1427462084 | Angelique Arias | Counselor | 750 Morris Rd Se, Los Lunas, NM 87031-5242 | 2014-06-11 |
| 1194143461 | Russi Carr | Counselor | 750 Morris Rd Se, Los Lunas, NM 87031-5242 | 2014-04-02 |
| 1487079547 | Tracie Betancourt | Counselor | 750 Morris Rd Se, Los Lunas, NM 87031-5242 | 2014-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466212 | Juanita Arcelia Flores-hull | Registered Nurse | 19670 Highway 314, Belen, NM 87031 | 2020-08-06 |
| 1184267171 | Nicole Andrea Bassett | Registered Nurse | 236 Don Pasqual Rd, Los Lunas, NM 87031 | 2019-10-22 |
| 1922649359 | Darrel Thompson | Physical Therapist | 2211 Main St, Ne, Los Lunas, NM 87031 | 2019-10-07 |
| 1407415235 | Brittany Leigh Dow | Family Medicine | 328 Main St Sw, Los Lunas, NM 87031 | 2019-06-05 |
| 1942764162 | Christine Beevers | Occupational Therapy Assistant | 310 Bonita Vista Blvd, Los Lunas, NM 87031 | 2019-01-23 |
| 1669953105 | Patricia A Ziehl | Occupational Therapy Assistant | 119 Luna Ave., Los Lunas, NM 87031 | 2018-08-23 |
| 1922500776 | Mellisa Marie Everett | Massage Therapist | 3414 Nm- 47, Los Lunas, NM 87031 | 2018-03-07 |
| 1831699917 | Nachelle Lynn Pell | Registered Nurse | 310 Bonita Vista, Los Lunas, NM 87031 | 2018-02-15 |
| 1053829135 | Valencia Denise Jackson | Registered Nurse | 46 Chacon Rd., Los Lunas, NM 87031 | 2018-01-11 |
| 1548777972 | Aja Santana Armijo | Speech-Language Pathologist | 46 Chacon Blvd., Los Lunas, NM 87031 | 2018-01-08 |
| Find all providers in zip 87031 | ||||
| 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 |
|---|---|---|---|---|
| 1336653906 | Shalada Cristal Creecy | Social Worker | 981 Alegria Ct, Los Lunas, NM 87031-8586 | 2017-11-18 |
| 1245532449 | Richard Maestas | Social Worker | 48 Avenida Jardin, Los Lunas, NM 87031-8644 | 2010-11-22 |
| 1437464138 | Paula L Raley | Social Worker | 2112 Main Street Ne, Suite A, Los Lunas, NM 87031 | 2010-08-18 |
| 1174650741 | Janelle Otero | Social Worker | 226 El Cerro Loop, Los Lunas, NM 87031-9505 | 2007-02-28 |
| 1740338268 | Juana Nevarez | Social Worker | 343 Main St, Los Lunas, NM 87031 | 2007-01-08 |
| 1689648859 | Marian R Daniels | Social Worker | 735 Don Pasqual Nw, Los Lunas, NM 87031 | 2006-02-15 |
| 1013419902 | Michelle Hill | Social Worker | 351 Courthouse Rd Se, Los Lunas, NM 87031-9235 | 2018-03-06 |
| 1871002634 | Lydia Carolina Valenzuela | Social Worker | 735 Don Pasqual Rd Nw, Los Lunas, NM 87031-8493 | 2017-09-25 |
| 1760930515 | Candace Stoughton | Social Worker | 428 Los Lentes Rd Se, Los Lunas, NM 87031-6018 | 2016-09-21 |
| 1023490034 | Brenda Medina | Social Worker | 428 Los Lentes Rd Se Ste 3, Los Lunas, NM 87031-6018 | 2015-06-25 |
| Find all providers in LOS LUNAS | ||||
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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.