Dustin Garrett Wilder

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SWB-2026-1015 Issued in NM

Practice address

5300 Foothills Dr
Farmington, NM 87402-8279

Phone

(505) 599-8604

NPI assigned

Aug 11, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1437824448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CHERRY LN",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874017409",
            "telephone_number": "505-278-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 FOOTHILLS DR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874028279",
            "telephone_number": "505-599-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "DUSTIN",
        "middle_name": "GARRETT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-11",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2026-1015",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy L White
• Lauren Taylor White
• Madison Whitehead, PA-C
• Elbert James Whitehorse
• Wilbur a Tso MD PC
• David Lee Wilkey, MD
• Alisha Lynn Williams, COTA
• Drew Jonathan Williams, DMD
• Jenna Williams
• Todd E Williams, MD

• Clinical Social Worker in Farmington, NM
• Providers in Farmington, 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 Sep 1, 2026; 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.