Joanna Widman, SW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

M 05895 Issued in NM

Practice address

7801 Candelaria Rd NE
Sandia HS
Albuquerque, NM 87110-3757

Phone

(505) 294-1511

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Mexico Counseling CenterGroup PAC ID 1759720782, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Mexico Counseling Center

  • Community/Behavioral Health Agency
  • Corrales, NM
  • NPI 1134411259
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679790935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 CANDELARIA RD NE",
            "address_2": "SANDIA HS",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103757",
            "telephone_number": "505-294-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 CANDELARIA RD NE",
            "address_2": "SANDIA HS",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103757",
            "telephone_number": "505-294-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDMAN",
        "first_name": "JOANNA",
        "credential": "SW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "M 05895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36377236",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Wicker, LCSW
• Cristy H Wickman, CFNP
• Bonita Rae Wickstrom, LISW
• Ashley Shavon Wickwire, LMT
• Vickie Widener
• Grace Widner
• James Herman Widner Jr., LADAC, CADAC
• Catherine Wiebe, LMHC
• Faith Natalie Wieck
• Elizabeth Kay Wiedell

• School Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• School Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.