npidexNPI registry + Medicare data

CLARK WOOLDRIDGE, LISW ACP

Clinical Social Worker · CLOVIS, NM

Individual Active Opted out of Medicare NPI 1649380502

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Clinical Social Worker1041C0700X✓I2267NM
Clinical Social Worker1041C0700X05339TX

Medicare eligibility

Part B
Yes
DME
Yes
Home health
No
Power mobility
No
Hospice
No

Opted out of Medicare (Clinical Social Worker), effective 2017-02-02 through 2027-02-02.

Other Clinical Social Worker providers in New Mexico

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.