Kevin Wheeler Kluck, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

M-10695 Issued in NM

Practice address

826 Camino de Monte Rey Ste A6
Santa Fe, NM 87505-3961

Phone

(214) 538-8219

NPI assigned

Jul 30, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1184102402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 S PACHECO ST APT C23",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875050502",
            "telephone_number": "214-538-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 CAMINO DE MONTE REY STE A6",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053961",
            "telephone_number": "214-538-8219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 Office Court Dr Ste 603",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875074905",
            "country_code": "US",
            "telephone_number": "505-310-4764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLUCK",
        "first_name": "KEVIN",
        "middle_name": "WHEELER",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-30",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-10695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Klepper, LMHC
• Helena Kline
• Karen L. Klinefelter, LISW
• Anne Monique Klint
• Demosthenis Klonis, D.O.
• Caroline Knapp, LMFT, LPCC
• Dena Michele Knight, CNM
• Kathryn Reid Knoch, L.M.S.W.
• Linnea Alice Knoespel, LPCC, ATR-BC
• Shane Knoll

• Clinical Social Worker in Santa Fe, NM
• Providers in Santa Fe, 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 May 19, 2021; 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.