Individual provider · Type 1 NPI
Jerry Woodle
Clinical Social Worker · Albuquerque, NM
Practice location
702 Broadway Blvd SE
Albuquerque, NM 87102-4285
Mailing address
819 Forrester NE, Apt B
Albuquerque, NM 87102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1962018697
Jerry Woodle's National Provider Identifier is 1962018697, issued on Sep 17, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Albuquerque, NM. The record was last updated on Nov 17, 2025.