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PEANUT BUTTER & JELLY FAMILY SERVICES NPI 1619256427


NPI Information

NPI: 1619256427
Provider Name: PEANUT BUTTER & JELLY FAMILY SERVICES
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 32D0923199

Address:
1101 LOPEZ RD SW
ALBUQUERQUE, NM
ZIP 87105
Phone: (505) 877-7060
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PEANUT BUTTER & JELLY FAMILY SERVICES is a clinical social worker in Albuquerque, NM. The provider is 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. PEANUT BUTTER & JELLY FAMILY SERVICES NPI is 1619256427. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1101 LOPEZ RD SW
ALBUQUERQUE, NM
ZIP 87105-954
Phone: (505) 877-7060

The provider's authorized official is Caprice Pino .
The authorized official title is Q&a Director and has the following contact phone number (505) 877-7060.

The CLIA number assigned to this NPI record is 32D0923199 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2011 and was last updated on 8/10/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalM-07595NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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