Autumn Drags Wolf, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

X-08328 Issued in NM

Practice address

11005 Spain Rd NE Ste 15
Albuquerque, NM 87111-1871

Phone

(505) 715-9673

NPI assigned

Nov 19, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nizhoni Counseling

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1225538317
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1124458633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 DON ROMERO DR SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871053996",
            "telephone_number": "505-715-9673"
        },
        {
            "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": "505-715-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGS WOLF",
        "first_name": "AUTUMN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "X-08328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124458633",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr.Thomas J Whalen MD PC
• Heather C Drager, PA C
• Nasielys Drago
• Cathann Dragone-Gutierrez, MA LPC NCC
• Dragonfly Counseling Associates Inc.
• Shalon Drags Wolf
• Jennifer A Drake-Feinberg
• Shana Drake-Lavelle, MD
• Cathy L Drake, MD
• Jon Drake, AUD

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.