Active NPI
Wendy Wofford, LCSW
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1558147173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SWB-2023-0691
- Practice address
- 1101 Lopez Rd SW
Albuquerque, NM 87105-3954 - Phone
- (505) 850-2710
- NPI assigned
- Sep 8, 2023
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SWB-2023-0691 | NM | Primary |
Addresses
Primary practice location
1101 Lopez Rd SW
Albuquerque, NM 87105-3954
Mailing address
1101 Lopez Rd SW
Albuquerque, NM 87105-3954
Phone (505) 850-2710
Other names 1
- Wendy Wickham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waves Behavioral Health | Current | Accepting new patients |
Locations
9400 Holly Ave NE
Bldg 4
Albuquerque, NM 87122
Phone (505) 336-0403
7510 Montgomery Blvd NE
Ste 202
Albuquerque, NM 87109
Phone (505) 514-3972
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1710645494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1558147173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 LOPEZ RD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871053954",
"telephone_number": "505-850-2710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 LOPEZ RD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871053954",
"telephone_number": "505-850-2710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOFFORD",
"first_name": "WENDY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-08",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "SWB-2023-0691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WENDY",
"last_name": "WICKHAM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.