Jonathan Baskin
Social Worker, Clinical in Albuquerque, NM. Individual provider (NPI-1).
NPI number1679080360
StatusActive
Last updated in NPPESJul 21, 2024
Details
- NPI
- 1679080360
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Baskin
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 4, 2018
- Certification date
- Jul 21, 2024
- Last updated
- Jul 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C-11693 | NM | Yes |
| 104100000X | Social Worker | 130589-121 | WI | |
| 1041C0700X | Social Worker, Clinical | 9370-123 | WI |
Practice location
707 Broadway Blvd NeAlbuquerque, NM 87102-2360
Phone 505-267-0701
Mailing address
405 Greg AveSanta Fe, NM 87501-1663
Phone 608-909-1459
Other practice locations
405 Greg Ave
Santa Fe, NM 87501-1663
Santa Fe, NM 87501-1663
Phone 608-909-1459
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