KAITLYN MAE HALLWYLER (NPI# 1902433493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902433493 |
| Entity Type | Individual |
| Full Name | KAITLYN MAE HALLWYLER |
| Credential | LBSW |
| Practice Address |
2884 N Roadrunner Pkwy Las Cruces NM 88011-0853 |
| Mailing Address |
906 S Melendres St Las Cruces NM 88005-2932 |
| Practice Telephone | 5755566115 |
| Mailing Telephone | 3134058915 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | X-11430 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | PROVISIONAL BACCALAUREATE SOCIAL WORK LICENSURE | X-11430 | 01 |
| Street Address |
2884 N ROADRUNNER PKWY |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-0853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194772939 | Peak Medical Assisted Living, LLC | Assisted Living Facility | 2884 N Roadrunner Pkwy, Las Cruces, NM 88011-0853 | 2006-05-27 |
| 1548755267 | Clarisse Grijalva | Occupational Therapy Assistant | 2884 N Roadrunner Pkwy, Las Cruces, NM 88011-0853 | 2018-06-25 |
| 1841650793 | Araceli Moncayo | Occupational Therapy Assistant | 2884 N Roadrunner Pkwy, Las Cruces, NM 88011-0853 | 2016-03-03 |
| 1306205901 | Michael Mccague IIi | Occupational Therapist | 2884 N Roadrunner Pkwy, Las Cruces, NM 88011-0853 | 2016-02-11 |
| 1235531484 | Chad Foster | Occupational Therapist | 2884 N Roadrunner Pkwy, Las Cruces, NM 88011 | 2014-09-18 |
| 1891118741 | Marygrace Artillaga | Physical Therapist | 2884 N Roadrunner Pkwy, Las Cruces, NM 88011-0853 | 2014-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| 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 | 88011 |
Please comment or provide details below to improve the information on KAITLYN MAE HALLWYLER.
| 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.