Stacia Roum
Stacia Roum is a Clinical Social Worker in El Rito, New Mexico. Qualified in 2018, 8 years ago. Practices with Grace Integrated Solutions, LLC, a 6-clinician group and accepts Medicare assignment. Licensed in New Mexico.
- Years since qualifying
- 8
- Licensed in
- NM
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
Nm 571 Bldg 28El Rito, NM 87530
Phone: (575) 581-4728
Fax: (575) 581-0030
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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-11362 (NM) |
|---|---|
| Social Worker | Taxonomy 104100000X · Licence M10379 (NM) |
Record details
| NPI number | 1801427695 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 30, 2020 |
| Last updated in NPPES | September 23, 2020 |
| Certification date | September 23, 2020 |
| Mailing address | Po Box 237, El Rito, NM 87530-0237 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Grace Integrated Solutions, Llc — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in El Rito
-
Samantha Brenner, LMSW
NM-571 Bldg 28, El Rito, NM 87530 · (575) 581-4728
-
Amanda O Trujillo, MSW
5 Private Drive 1684, El Rito, NM 87530 · (505) 927-3910