DR. WANDA K. WHITTLESEY-JEROME (NPI# 1225566995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225566995 |
| Entity Type | Individual |
| Full Name | DR. WANDA K. WHITTLESEY-JEROME |
| Credential | MSW, LMSW, PHD |
| Practice Address |
10138 Bosque Cir Nw Albuquerque NM 87114-8827 |
| Mailing Address |
1033 W Meadowlark Ln Corrales NM 87048-9688 |
| Practice Telephone | 5054148467 |
| Practice Fax Number | 5054070075 |
| Mailing Telephone | 5056106808 |
| Mailing Fax Number | 5058966942 |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2017-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | M-04933 | NM | Behavioral Health & Social Service Providers |
| Street Address |
10138 BOSQUE CIR NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87114-8827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871103366 | Equine Therapeutic Connection | Community/Behavioral Health | 10138 Bosque Cir Nw, Albuquerque, NM 87114-8827 | 2020-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891331773 | Head To Toe Wellness, LLC | Counselor | 4619 Greene Ave, Suite D, Albuquerque, NM 87114 | 2019-11-26 |
| 1255896353 | 32 Degrees Genuine, LLC | Counselor | 10143 4th St Nw, Albuquerque, NM 87114 | 2019-02-04 |
| 1548789365 | Maureen Chavez | Occupational Therapist | 10501 Golf Course, Albuquerque, NM 87114 | 2017-09-13 |
| 1982149043 | Professional Case Coordination Services LLC | Case Management | 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 | 2016-12-28 |
| 1124494323 | Geri Davis | Nurse Practitioner | 10511 Golf Course Rd Nw Ste 203, Albuquerque, NM 87114 | 2015-08-11 |
| 1427432111 | Marcia Nicole Cowen | Nurse Practitioner | 9210 Golfcourse Rd Nw, Albuquerque, NM 87114 | 2015-07-13 |
| 1013315399 | Amy Brown | Counselor | 707 Broadway Blvd. Ne, Suite 500, Albuquerque, NM 87114 | 2014-12-18 |
| 1851793392 | Elaine Barbara Beckett | Pharmacist | 10224 Coors-by-pass Nw, Albuquerque, NM 87114 | 2014-09-16 |
| 1174924344 | Sherrica Cressor | Counselor | 20 Pond Road, County Road 11, Cuba, NM 87114 | 2014-09-08 |
| 1427467513 | Colleen Temkin | Pharmacist | 10224 Coors By Pass Nw, Albuquerque, NM 87114 | 2014-08-04 |
| Find all providers in zip 87114 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194355974 | Nicole Marie Padilla | Social Worker | 652 Vista Lejos Ln Sw, Albuquerque, NM 87121-8980 | 2020-01-21 |
| 1184261539 | Theresa Annette Bustos | Social Worker | 1900 Atrisco Dr Nw, Albuquerque, NM 87120-1146 | 2019-12-04 |
| 1437793395 | Stephanie Molina | Social Worker | 2440 Louisiana Blvd Ne Ste 300, Albuquerque, NM 87110-4394 | 2019-11-04 |
| 1639727571 | Celina Miera | Social Worker | 119 Industrial Ave Ne, Albuquerque, NM 87107-2283 | 2019-09-03 |
| 1174170955 | Stephanie Michele Camfield | Social Worker | 5323 Menaul Blvd Ne, Albuquerque, NM 87110-3113 | 2019-08-26 |
| 1336703156 | Edwin Vargas | Social Worker | 2617 Juan Tabo Blvd Ne Ste D, Albuquerque, NM 87112-2967 | 2019-04-26 |
| 1134690886 | Francisco Bussetti | Social Worker | 317 Panorama Pl Ne, Albuquerque, NM 87123-2128 | 2018-12-06 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| 1841774122 | Mona Ramlawi | Social Worker | 2900 Louisiana Blvd Ne Ste A2, Albuquerque, NM 87110-3550 | 2018-09-21 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87114 |
Please comment or provide details below to improve the information on DR. WANDA K. WHITTLESEY-JEROME.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.