Provider Demographics
NPI:1336291020
Name:LINK, MEREDITH ANN (MSW)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:ANN
Last Name:LINK
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:MEREDITH
Other - Middle Name:ANN
Other - Last Name:HINCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13016 SAND CHERRY PL NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-7570
Mailing Address - Country:US
Mailing Address - Phone:505-822-6396
Mailing Address - Fax:
Practice Address - Street 1:1503 UNIVERSITY BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-1708
Practice Address - Country:US
Practice Address - Phone:505-243-2551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMM-056501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical