Individual provider Active NPI

Casey Dexter

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1497110480
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
M-09313 Issued in NM
Practice address
3600 Cerrillos Rd Ste 303
Santa Fe, NM 87507-2694
Phone
(505) 257-8554
NPI assigned
Dec 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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 M-09313 NM Primary

Addresses

Primary practice location

3600 Cerrillos Rd Ste 303
Santa Fe, NM 87507-2694

Mailing address

3600 Cerrillos Rd Ste 307
Santa Fe, NM 87507-2694
Phone (520) 909-6264

Other practice location 1

1460 Trinity Dr Ste 3
Los Alamos, NM 87544-4107
Phone (505) 257-8554

Other identifiers 1

IdentifierTypeStateIssuer
11386533MedicaidNM

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
I20190910000742 NM Practitioner - Clinical Social Worker 3870830532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alder and Oak Counseling LLCGroup PAC ID 1850628777, 4 clinicians

Practice addresses (Care Compare)

3600 Cerrillos Rd
Suite 303
Santa Fe, NM 87507-2694
Phone (505) 257-8554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M-09313NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alder and Oak Counseling LLC CurrentSince May 19, 2024 Accepting new patients
Tejal Murray Therapies LLC Current Accepting new patients
Alder and Oak Counseling LLC CurrentSince Jun 27, 2019 Accepting new patients
Alder and Oak Counseling LLC Clinical PastSince Aug 6, 2019 Accepting new patients

Locations

1460 Trinity Dr
Ste 3
Los Alamos, NM 87544
Phone (505) 257-8554

3600 Cerrillos Rd
Ste 307B
Santa Fe, NM 87507

3600 Cerrillos Rd
Ste 303
Santa Fe, NM 87507
Phone (505) 257-8554

Organizations & group practices 4

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": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1497110480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 CERRILLOS RD STE 307",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072694",
            "telephone_number": "520-909-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CERRILLOS RD STE 303",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072694",
            "telephone_number": "505-257-8554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1460 Trinity Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Los Alamos",
            "state": "NM",
            "postal_code": "875444107",
            "country_code": "US",
            "telephone_number": "505-257-8554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEXTER",
        "first_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-18",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-09313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11386533",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.