Individual provider Active NPI

Wendy Ann Rodgers, LISW

  • Clinical Social Worker
  • Los Lunas, NM
National Provider Identifier
1265700439
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-08301 Issued in NM
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

Updated by the provider on Aug 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
22733027MedicaidNM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151107000225 NM Practitioner - Clinical Social Worker 1052553187 Reassigns benefits to 1 organization

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
Southwest Healthworks LLCGroup PAC ID 1052850336, 8 clinicians

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

OrganizationSpecialtyStatusNew patients
Southwest Healthworks LLC Clinical CurrentSince Sep 15, 2025 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

Verify at the official NPI Registry.