Elizabeth C. Tudor, LCSWC-06550

Individual provider Clinical Social Worker · NPI 1790800787

Elizabeth C. Tudor, LCSWC-06550 is a Clinical Social Worker in Hillsboro, New Mexico. Qualified in 1999, 27 years ago. Accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying: 27
Licensed in: NM
In the registry since: 2007

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Practice location Address checks out

25 Kingston Main St
Hillsboro, NM 88042-9514
Phone: (575) 313-2385

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary)	Taxonomy 1041C0700X · Licence C-06550 (NM)

Record details

NPI number	1790800787
Entity type	Individual (Type 1)
Gender	Female
Credentials	LCSWC-06550
Sole proprietor	No
NPI enumerated	March 20, 2007
Last updated in NPPES	March 27, 2020
Certification date	March 27, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	CLINICAL SOCIAL WORKER
Medical school	OTHER
Graduated	1999 (27 years in practice)
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount