Individual provider Active NPI

Patty Wyckoff-Fish, LISW

  • School Social Worker
  • Alamogordo, NM
National Provider Identifier
1811079239
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
264414 Issued in NM
Practice address
1211 Hawaii Ave
Alamogordo, NM 88310-6437
Phone
(505) 439-3200
Fax
(505) 434-1840
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-04645 NM
School Social Worker 1041S0200X 264414 NM Primary

Addresses

Primary practice location

1211 Hawaii Ave
Alamogordo, NM 88310-6437

Mailing address

707 7TH St
Tularosa, NM 88352-2617

Other identifiers 1

IdentifierTypeStateIssuer
57276099MedicaidNM

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
I-04645NMMDClinical Social Worker
264414NMMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alamogordo Municipal Schools Past Accepting new patients

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1811079239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 7TH ST",
            "city": "TULAROSA",
            "state": "NM",
            "postal_code": "883522617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 HAWAII AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106437",
            "telephone_number": "505-439-3200",
            "fax_number": "505-434-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCKOFF-FISH",
        "first_name": "PATTY",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-04645",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "264414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57276099",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, 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.

Verify at the official NPI Registry.