Individual
MS. LISA L KASMAN-SCHLOSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4216 BALLOON PARK RD NE, ALBUQUERQUE, NM 87109-5801
(505) 889-3412
Mailing address
PO BOX 21, CEDAR CREST, NM 87008-0021
(505) 401-0210
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I-4460
NM
1041C0700X
Clinical Social Worker
Primary
C-4460
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B5888
—
NM
Enumeration date
04/26/2007
Last updated
02/29/2024
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