Individual provider Active NPI

Claudia Wilsey-Gopp, LCSW

  • Clinical Social Worker
  • Taos, NM
National Provider Identifier
1689988982
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-10566 Issued in NM
Practice address
125 La Posta Rd
Taos, NM 87571-7240
Phone
(575) 224-6702
Fax
(505) 633-7620
NPI assigned
Jul 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C-10566 NM Primary

Addresses

Primary practice location

125 La Posta Rd
Taos, NM 87571-7240

Mailing address

PO Box 3132
Taos, NM 87571-3132
Phone (575) 779-6563

Other names 1

  • Ms. Claudia B Wilsey-Gopp Other name

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
I20190206003250 NM Practitioner - Clinical Social Worker 6800134453 Practice locations: Taos, NM

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 La Posta Rd
Taos, NM 87571-7240
Phone (575) 224-6702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-10566NMMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1689988982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3132",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875713132",
            "telephone_number": "575-779-6563",
            "fax_number": "505-633-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LA POSTA RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875717240",
            "telephone_number": "575-224-6702",
            "fax_number": "505-633-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSEY-GOPP",
        "first_name": "CLAUDIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDIA",
            "last_name": "WILSEY-GOPP",
            "middle_name": "B",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Taos, NM

Sources for this page

Verify at the official NPI Registry.