Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SUSANNE ANNETTE SHORT, LICSW
ActiveClinical Social Worker · JEMEZ SPRINGS, NM
Registration Details
- NPI Number
- 1639349020
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 3, 2008 (18.176660944256 yrs)
- Last Updated
- Oct 3, 2022
- Licenses
-
09928374 (CO)14543 (MN)2022-0084 (NM)
Practice Information
- Address
-
17482 HIGHWAY 4JEMEZ SPRINGS, NM, 870258702Browse NM providers · Browse ZIP 87025
- Phone
- 6125052694
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in JEMEZ SPRINGS, NM
| Name | Credential | NPI |
|---|---|---|
| SUSAN LUCY MILLER | — | 1558517169 |
| SALLY HUNTER | LCSW | 1932527140 |
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.