Individual
MICHELLE NAKAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
(505) 443-4161
Mailing address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
(505) 443-4161
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2023-0117
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2026-0343
NM
Other
Enumeration date
09/19/2020
Last updated
04/03/2026
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