SearchNew Mexico1041S0200X

Mkayla Ellsworth, LBSW, BS

NPI 1306674700 · on the registry since 2024

Practice

Address
520 N 1st St
Bloomfield, NM 87413
Phone
(505) 634-3400
Clinicians at this address
7

Registry record

Primary taxonomy
1041S0200X
1041S0200X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico