Active NPI
Casey Dexter
- Clinical Social Worker
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- M-09313
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11386533 | Medicaid | NM |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| M-09313 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alder and Oak Counseling LLC | Current | Accepting new patients | |
| Tejal Murray Therapies LLC | Current | Accepting new patients | |
| Alder and Oak Counseling LLC | Current | Accepting new patients | |
| Alder and Oak Counseling LLC | Clinical | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Fe, NM
- NPI 1144787581
-
- Mental Health Counselor
- Santa Fe, NM
- NPI 1427807189
-
- Clinical Social Worker
- Los Alamos, NM
- NPI 1790330207
-
- Professional Counselor
- Santa Fe, NM
- NPI 1497520027
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.