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

Telecia Crockett

Individual provider Community Health Worker · NPI 1205425170

Telecia Crockett is a Community Health Worker in Bloomfield, New Mexico. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

101 E Broadway Ave
Bloomfield, NM 87413-6235
Phone: (505) 330-8220
Fax: (505) 234-7867
Show map & directions

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

Additional practice locations (1)

  • 114 N Behrend Ave, Farmington, NM 87401-8414 — (505) 330-8220

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1205425170
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 14, 2021
Last updated in NPPESJanuary 19, 2023
Certification dateJanuary 19, 2023

Other providers in Bloomfield