Active NPI
Kerri L. Bollinger, LMSW
- Clinical Social Worker
- Tucumcari, NM
National Provider Identifier
1710026331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- M-06346
- Practice address
- 1701 S 11TH St
Tucumcari, NM 88401-3715 - Phone
- (505) 461-4344
- Fax
- (505) 461-8033
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | M-06346 | NM | Primary |
| School Social Worker | 1041S0200X | M-06346 | NM |
Addresses
Primary practice location
1701 S 11TH St
Tucumcari, NM 88401-3715
Mailing address
3604 Quay Road 63.5
Tucumcari, NM 88401-9627
Phone (505) 461-3309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94026556 | Medicaid | NM |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-06346 | NM | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1710026331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3604 QUAY ROAD 63.5",
"city": "TUCUMCARI",
"state": "NM",
"postal_code": "884019627",
"telephone_number": "505-461-3309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S 11TH ST",
"city": "TUCUMCARI",
"state": "NM",
"postal_code": "884013715",
"telephone_number": "505-461-4344",
"fax_number": "505-461-8033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLLINGER",
"first_name": "KERRI",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "M-06346",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NM",
"license": "M-06346",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "94026556",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucumcari, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.