Provider Demographics
NPI:1346584042
Name:ORIOLA, NANCY J (LMSW)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:J
Last Name:ORIOLA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6121 INDIAN SCHOOL RD NE STE 103
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-4165
Mailing Address - Country:US
Mailing Address - Phone:505-345-5529
Mailing Address - Fax:505-345-2211
Practice Address - Street 1:6121 INDIAN SCHOOL RD NE STE 103
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-4165
Practice Address - Country:US
Practice Address - Phone:505-345-5529
Practice Address - Fax:505-345-2211
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMM-047681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical