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Or Factor

NPI 1285177675ActiveOrganization· Social Worker, Clinical· Roswell, NM

Social Worker, Clinical in Roswell, New Mexico, registered in NPPES in December 2016. The authorized official on file is Kimberly Shannon Byrne, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI1285177675
StatusActive
Entity typeOrganization
NPI issuedDec 2, 2016
Last updated in NPPESJul 18, 2024
Certified by providerJul 18, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (NM); Part B Supplier - Clinic/Group Practice (TX)

Medicare sources and data years

Other Social Worker, Clinical providers in Roswell

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