Organization
MARGOT M FELDVEBEL LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGOT MANDIRA FELDVEBEL LCSW (CLINICIAN/PRESIDENT)
(505) 328-9448
Entity
Organization
Contact information
Practice address
1003 LUNA CIR NW, ALBUQUERQUE, NM 87102-1973
(505) 328-9448
(505) 340-3764
Mailing address
1125 FOREST RD NW, ALAMEDA, NM 87114-1915
(505) 328-9448
(505) 340-3764
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13816274
CAQH
—
01
—
C-09997
CLINICAL SOCIAL WORK LICENSE #
NM
Enumeration date
02/13/2020
Last updated
09/03/2021
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