Individual
TIMOTHY BARTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4300 SAN MATEO BLVD NE STE B186, ALBUQUERQUE, NM 87110-8409
(505) 226-2839
Mailing address
4300 SAN MATEO BLVD NE STE B186, ALBUQUERQUE, NM 87110-8409
(505) 226-2839
(505) 295-2559
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2024-1305
NM
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06337767
—
NM
Enumeration date
08/26/2022
Last updated
02/11/2025
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