Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY VERSAW, L.I.S.W.
Active Sole ProprietorJEFFREY VERSAW, L.I.S.W. is a Social Worker healthcare provider located in CHAMA, New Mexico. NPI 1518103902 is currently active in the NPPES registry. Verify at CMS.
Social Worker · CHAMA, NM
Registration Details
- NPI Number
- 1518103902
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 6, 2009 (17.60454124162 yrs)
- Last Updated
- Jan 6, 2009
- License
-
I-05349 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
669 TERRACE AVE.BCHAMA, NM, 87520Browse NM providers · Browse ZIP 87520
- Phone
- 5752091250
- Primary Specialty
-
Social Worker
104100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.