Individual
JAMES H. SHOTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4004 CARLISLE BLVD NE STE A2, ALBUQUERQUE, NM 87107-4566
(505) 891-1583
Mailing address
5033 WHITE OWL WAY NE, RIO RANCHO, NM 87144-0884
(505) 891-1583
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-3892
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201021113
PRESBYTERIAN HEALTH PLAN
NM
05
—
25102265
—
NM
01
—
VNM00212OT
VALUEOPTIONS NEW MEXICO
NM
Enumeration date
09/20/2006
Last updated
07/21/2022
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