Individual provider Active NPI

Phoebe Wakerobin Sheldon Young, MSW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1609557032
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2023-0298 Issued in NM
Practice address
1660 Old Pecos TRL Ste a
Santa Fe, NM 87505-4778
Phone
(505) 657-9708
Fax
(505) 395-9295
NPI assigned
Jul 27, 2023
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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 SWB-2023-0298 NM Primary

Addresses

Primary practice location

1660 Old Pecos TRL Ste a
Santa Fe, NM 87505-4778

Mailing address

1660 Old Pecos TRL Ste a
Santa Fe, NM 87505-4778
Phone (505) 657-9708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2023-0298NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Healthworks LLC Clinical CurrentSince Jul 31, 2023 Accepting new patients

Locations

1660 Old Pecos Trl
Ste A
Santa Fe, NM 87505
Phone (505) 548-9023

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1609557032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 OLD PECOS TRL STE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054778",
            "telephone_number": "505-657-9708",
            "fax_number": "505-395-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 OLD PECOS TRL STE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054778",
            "telephone_number": "505-657-9708",
            "fax_number": "505-395-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELDON YOUNG",
        "first_name": "PHOEBE",
        "middle_name": "WAKEROBIN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2023-0298",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 27, 2023; 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.