Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miah Selena Eidenschink, LCSW

Individual provider Clinical Social Worker · NPI 1720727662

Miah Selena Eidenschink, LCSW is a Clinical Social Worker in Cannon AFB, New Mexico. Licensed in Texas. Registered with an NPI since 2022.

Licensed in
TX
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

224 W D L Ingram Ave Bldg 1408
Cannon AFB, NM 88103-5014
Phone: (575) 904-3911
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 107873 (TX)

Record details

NPI number1720727662
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 31, 2022
Last updated in NPPESAugust 3, 2025
Certification dateAugust 3, 2025

Other providers in Cannon AFB