Provider Demographics
NPI:1326512260
Name:GALINDO, VANESSA (LCSW, ACHP-SW)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:GALINDO
Suffix:
Gender:F
Credentials:LCSW, ACHP-SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 W KANSAS ST TRLR 1
Mailing Address - Street 2:
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88242-9680
Mailing Address - Country:US
Mailing Address - Phone:915-474-1484
Mailing Address - Fax:
Practice Address - Street 1:2424 N LOVINGTON HWY
Practice Address - Street 2:
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-2121
Practice Address - Country:US
Practice Address - Phone:915-474-1484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-098321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical