Individual
MS. DENISE SACCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1435 SOUTH ST FRANCIS DRIVE, ROOM 205, SANTA FE, NM 87505
(505) 501-4410
Mailing address
825 CALLE MEJIA, APT 431, SANTA FE, NM 87501-1417
(505) 989-1233
(505) 989-1233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I04994
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM00JP23
BLUE CROSS BLUE SHIELD
NM
01
—
17277
MESA MENTAL HEALTH
NM
05
—
70207836
—
NM
Enumeration date
05/18/2007
Last updated
07/08/2007
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