Marianne Vivica Meador
Marianne Vivica Meador is a Clinical Social Worker in Albuquerque, New Mexico. Qualified in 2004, 22 years ago. Practices with Formation Counseling Services Inc, a 15-clinician group and accepts Medicare assignment. Licensed in New Mexico.
- Years since qualifying
- 22
- Licensed in
- NM
- In the registry since
- 2010
Practice location Address checks out
8600 Academy Rd NEAlbuquerque, NM 87111-1107
Phone: (505) 821-3628
Fax: (505) 856-7103
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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 I-06790 (NM) |
|---|
Record details
| NPI number | 1780997387 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 23, 2010 |
| Last updated in NPPES | July 23, 2010 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Formation Counseling Services Inc — 15 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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