Individual provider Active NPI

Meryl Lynn Wolper, MSW, LISW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1477863967
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-07603 Issued in NM
Practice address
1408 Santa Rosa Dr
Santa Fe, NM 87505-3489
Phone
(505) 795-8808
NPI assigned
Oct 18, 2010
Last updated
Apr 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-07603 NM Primary
Community/Behavioral Health Agency 251S00000X 06944 NM

Addresses

Primary practice location

1408 Santa Rosa Dr
Santa Fe, NM 87505-3489

Mailing address

1408 Santa Rosa Dr
Santa Fe, NM 87505-3489
Phone (505) 795-8808

Other names 1

  • Meryl Lynn Wolper Other name

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
I20170522002487 NM Practitioner - Clinical Social Worker 3870860836 Practice locations: Santa Fe, NM

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1408 Santa Rosa Dr
Santa Fe, NM 87505-3489
Phone (505) 795-8808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-07603NMMDClinical Social Worker
06944NMMDCommunity/Behavioral Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1477863967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 SANTA ROSA DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053489",
            "telephone_number": "505-795-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 SANTA ROSA DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053489",
            "telephone_number": "505-795-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLPER",
        "first_name": "MERYL",
        "middle_name": "LYNN",
        "credential": "MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-07603",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "06944",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERYL",
            "last_name": "WOLPER",
            "middle_name": "LYNN",
            "credential": "MSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.