Individual
NICOLE MARIE PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6330 RIVERSIDE PLAZA LN NW STE 260, ALBUQUERQUE, NM 87120-2160
(505) 226-2839
(505) 295-2559
Mailing address
652 VISTA LEJOS LN SW, ALBUQUERQUE, NM 87121-8980
(505) 397-9034
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2024-0129
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34183710
—
NM
Enumeration date
01/21/2020
Last updated
05/01/2024
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