KIM CANTRELL, LLC (NPI# 1700126794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700126794 |
| Entity Type | Organization |
| Organization Name | KIM CANTRELL, LLC |
| Practice Address |
2006 Southern Blvd Se Ste 203c Rio Rancho NM 87124-3758 |
| Mailing Address |
8205 Spain Rd Ne Suite 106 Albuquerque NM 87109-3179 |
| Practice Telephone | 5053623515 |
| Mailing Telephone | 5053623515 |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-02-27 |
| Authorized Official Name | KIM CANTRELL (OWNER) |
| Authorized Official Telephone | 5053623515 |
| Authorized Official Credential | LISW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I-06910 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 99976307 | 05 |
| Street Address |
2006 SOUTHERN BLVD SE STE 203C |
| City | RIO RANCHO |
| State | NM |
| Zip Code | 87124-3758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128351 | Lilly's Internal Light, LLC | Counselor | 2006 Southern Blvd Se Ste 203c, Rio Rancho, NM 87124-3758 | 2020-09-13 |
| 1508256645 | Francine Hernandez | Social Worker | 2006 Southern Blvd Se Ste 203c, Rio Rancho, NM 87124-3758 | 2015-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
| 1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
| 1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
| 1841840345 | Debra English | Technician | 2001 Yucca St Se, Rio Rancho, NM 87124 | 2019-09-17 |
| 1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
| 1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
| 1225507197 | Speech and Language Possibilities, LLC | Audiologist | 273 Tigris Road Ne, Rio Rancho, NM 87124 | 2018-11-20 |
| 1063997823 | Cindy Pendrey, LLC | Clinic/Center | 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 | 2018-09-27 |
| 1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
| 1013404581 | New Mexico Dental Clinics LLC | Dentist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 | 2018-04-19 |
| Find all providers in zip 87124 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154989721 | Insights Social Work, LLC | Social Worker | 589 Stallion Road Se6, Rio Rancho, NM 87124-1006 | 2019-05-30 |
| 1871093039 | Jasper John Wiggins | Social Worker | 6952 Albany Hills Dr Ne, Rio Rancho, NM 87144-8632 | 2018-02-14 |
| 1851816821 | Angela Antoinette Garcia | Social Worker | 4548 Limestone Dr Ne, Rio Rancho, NM 87124-4436 | 2017-08-10 |
| 1659818540 | Mallet Reid | Social Worker | 704 Talon Ct Ne, Rio Rancho, NM 87144-4712 | 2017-01-30 |
| 1164772232 | Annmarie Boyd | Social Worker | 5737 Quay Dr Ne, Rio Rancho, NM 87144 | 2012-09-14 |
| 1972899078 | Tracy E Walker | Social Worker | 4100 Barbara Loop Se, Rio Rancho, NM 87124-1000 | 2011-06-27 |
| 1346549706 | Jessica Codr | Social Worker | 1603 Golf Course Rd Se Ste A, Rio Rancho, NM 87124-1762 | 2011-03-23 |
| 1659677920 | Nicole Ann Nance | Social Worker | 1327 Walsh St Se, Rio Rancho, NM 87124-2985 | 2011-02-04 |
| 1144535915 | Stephanie Gail Ross | Social Worker | 1207 Golf Course Rd Se, Rio Rancho, NM 87124-1999 | 2010-08-17 |
| 1043440431 | Angela M Teertstra | Social Worker | 1001 Night Sky Ave Ne, Rio Rancho, NM 87144-6017 | 2009-07-20 |
| Find all providers in RIO RANCHO | ||||
| City | RIO RANCHO |
| Zip Code | 87124 |
Please comment or provide details below to improve the information on KIM CANTRELL, LLC.
| 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.