Active NPI
Wendy Ann Rodgers, LISW
- Clinical Social Worker
- Los Lunas, NM
National Provider Identifier
1265700439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-08301
- Practice address
- 750 Morris Rd SE
Los Lunas, NM 87031-5242 - Phone
- (505) 866-2318
- NPI assigned
- Dec 2, 2011
- Sex
- Female
- 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 | I-08301 | NM | Primary |
Addresses
Primary practice location
750 Morris Rd SE
Los Lunas, NM 87031-5242
Mailing address
2551 Coors Blvd NW
Albuquerque, NM 87120-1213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22733027 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1660 Old Pecos TRL
Suite a
Santa Fe, NM 87505-4779
Phone (505) 657-9708
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Healthworks LLC | Clinical | Current | Accepting new patients |
Locations
5001 Indian School Rd NE
Ste 200
Albuquerque, NM 87110
Phone (505) 548-9023
1660 Old Pecos Trl
Ste A
Santa Fe, NM 87505
Phone (505) 548-9023
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440633600000",
"number": "1265700439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2551 COORS BLVD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871201213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 MORRIS RD SE",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870315242",
"telephone_number": "505-866-2318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "WENDY",
"middle_name": "ANN",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-02",
"last_updated": "2015-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-08301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22733027",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Lunas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.