IndividualActive
Jessica Story, LCSW
NPI 1912334822 · Clinical Social Worker · Cedar Crest, NM
Provider details
- NPI number
- 1912334822
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- X-11338 (NM)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
12165 State Highway 14 N Ste B7
Cedar Crest, NM 87008-9538
Phone: (505) 913-7771
Approximate (ZIP-level) locationGet directions
Mailing address
78 Pomeroy Ter
Northampton, MA 01060-3378
Registry dates
- Enumerated
- 2013-10-09
- Last updated
- 2019-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.