Active NPI
Troy Stephen Weeldreyer, LCSW
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1114535192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SWB-2023-0344
- Practice address
- 11005 Spain Rd NE Ste 15
Albuquerque, NM 87111-1871 - Phone
- (505) 552-6661
- NPI assigned
- Jul 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SWB-2023-0344 | NM | Primary |
Addresses
Primary practice location
11005 Spain Rd NE Ste 15
Albuquerque, NM 87111-1871
Mailing address
7133 Settlement Way NW
Albuquerque, NM 87120-2926
Phone (505) 573-9122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SWB-2023-0344 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pueblo of Acoma | Past | Accepting new patients | |
| Pueblo of Acoma | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Pueblo of Acoma, NM
- NPI 1619323565
-
- Community/Behavioral Health Agency
- Acoma, NM
- NPI 1710343942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1114535192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7133 SETTLEMENT WAY NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871202926",
"telephone_number": "505-573-9122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11005 SPAIN RD NE STE 15",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871111871",
"telephone_number": "505-552-6661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEELDREYER",
"first_name": "TROY",
"middle_name": "STEPHEN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-16",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "SWB-2023-0344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.