| Mrs Kimberly Wudarzewski, LMSW | |
|
1316 Nakomis Dr Ne Unit C, Albuquerque, NM 87112-6039 | |
| (505) 271-6444 | |
| Not Available |
| Full Name | Mrs Kimberly Wudarzewski |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 12 Years |
| Location | 1316 Nakomis Dr Ne Unit C, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720416795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | M-08407 (New Mexico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capitan Therapy And Behavioral Health | 6305262593 | 3 |
| Entity Name | Capitan Therapy & Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790301026 PECOS PAC ID: 6305262593 Enrollment ID: O20200818004217 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberly Wudarzewski, LMSW 2904 Sudderth Dr, Ste B, Ruidoso, NM 88345-6338 Ph: (575) 491-3300 | Mrs Kimberly Wudarzewski, LMSW 1316 Nakomis Dr Ne Unit C, Albuquerque, NM 87112-6039 Ph: (505) 271-6444 |
Mrs. Jeniffer Lynn Lang, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2530 Virginia St Ne Ste 400, Albuquerque, NM 87110 Phone: 505-291-6314 | |
Ms. Danelle W Marshall, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102 Phone: 505-268-0701 Fax: 270-689-6677 | |
Anna Marie Gonzales, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1709 Moon St Ne, Albuquerque, NM 87112 Phone: 505-271-0329 | |
Samuel Hufnagel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 4th St Nw Ste 102, Albuquerque, NM 87102 Phone: 505-705-9636 | |
Miss Desirey Marie Hankins, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108 Phone: 505-265-1711 | |
France Bordeleau, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 610 Gold Ave Sw Ste 102, Albuquerque, NM 87102 Phone: 505-710-8423 | |
Rose Langland, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8205 Spain Rd Ne Ste 106, Albuquerque, NM 87109 Phone: 505-856-0300 Fax: 505-856-7946 |