Kimberly Wudarzewski, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

M-08407 Issued in NM

Practice address

1316 Nakomis Dr NE Unit C
Albuquerque, NM 87112-6039

Phone

(505) 271-6444

NPI assigned

Oct 29, 2013

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

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ruidoso Physical Therapy Clinic, Inc

  • Physical Therapist
  • Ruidoso, NM
  • NPI 1265498471
  NPD

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1720416795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 SUDDERTH DR",
            "address_2": "STE B",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456338",
            "telephone_number": "575-491-3300",
            "fax_number": "844-876-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 NAKOMIS DR NE UNIT C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871126039",
            "telephone_number": "505-271-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUDARZEWSKI",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-08407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jia Wu, CNP
• Sheng Wu
• Wen Wu, D.C , D.O.M
• Yizhong Wu, MD
• Terra Wubbenhorst, M.D.
• Abigail Marie Wuensch, DPT
• Natalie Leann Wulf
• Kurt Altik Wulfekuhler, PH.D.
• Aimee Wunsch
• Riana Wurzburger, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.