MS. SANDRA CECELIA BODGE CASE MANAGER NPI 1235181371

NPI Information

  • NPI: 1235181371
  • Provider Name: MS. SANDRA CECELIA BODGE, CASE MANAGER
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 67 SUGAR LN
    EL PRADO, NM
    ZIP 87529
  • Phone: (575) 770-2404

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NPI Details

MS. Sandra Cecelia Bodge, CASE MANAGER is a mental health counselor in El Prado, NM. MS. Sandra Cecelia Bodge, CASE MANAGER NPI is 1235181371. 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:

67 SUGAR LN
EL PRADO, NM
ZIP 87529
Phone: (575) 770-2404

The enumeration date for this NPI number is 5/17/2006 and was last updated on 1/22/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthT-0096331NEW 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: 3/30/2025

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