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AUDREY DEBRA SIEGAL PMSW LSAA NPI 1184958563


NPI Information

NPI: 1184958563
Provider Name: AUDREY DEBRA SIEGAL, PMSW, LSAA
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
600 1ST ST NW STE 200
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 224-9124
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Audrey Debra Siegal, PMSW, LSAA is a social worker in Albuquerque, NM. The provider is 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. Audrey Debra Siegal, PMSW, LSAA NPI is 1184958563. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 1ST ST NW STE 200
ALBUQUERQUE, NM
ZIP 87102-311
Phone: (505) 224-9124
Fax: (505) 247-9503

The enumeration date for this NPI number is 10/1/2009 and was last updated on 10/1/2009.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)0124431NEW MEXICONo
2104100000XSocial WorkerX - 06623NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
171750274MEDICAIDNEW MEXICO

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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