Active NPI
Patricia E. Wahe III, LMSW
- Social Worker
- Las Cruces, NM
National Provider Identifier
1376702803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M2507
- Practice address
- 100 W. Griggs
Las Cruces, NM 88001 - Phone
- (575) 647-2896
- Fax
- (575) 647-2898
- NPI assigned
- Jun 9, 2008
- Last updated
- Aug 28, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | M2507 | NM | Primary |
Addresses
Primary practice location
100 W. Griggs
Las Cruces, NM 88001
Mailing address
1320 S. Solano
Las Cruces, NM 88005
Phone (575) 527-7900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18677037 | Medicaid | NM | |
| 47043 | Medicaid | NM | |
| 85-0204142 | Other | NM | MEDICARE |
| 48820709 | Medicaid | NM |
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 |
|---|---|---|---|
| M2507 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1376702803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 S. SOLANO",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88005",
"telephone_number": "575-527-7900",
"fax_number": "575-571-4872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W. GRIGGS",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88001",
"telephone_number": "575-647-2896",
"fax_number": "575-647-2898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHE",
"first_name": "PATRICIA",
"middle_name": "E.",
"name_prefix": "Ms.",
"name_suffix": "III",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M2507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18677037",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47043",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "85-0204142",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "48820709",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
- Cassie Wadsworth
- Denise Louise Wagner, PSYD, LCSW
- Emily Ellen Wagner
- Joshua Wagner
- Ruth Lara Wagner, LPCC
- Falon Dean Waisath, D.M.D.
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0806)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-4601)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-5782)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-5155)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.