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MR. CARL LEE WAMBOLDT
NPI 1124538376
Social Worker in Farmington, NM

Active since October 02, 2017
1001 WEST BROADWAY, FARMINGTON, NM 87401(505) 327-4796 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2025, Jun 12, 2024 (2 updates tracked since 2024).

About Mr. Carl Lee Wamboldt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CARL LEE WAMBOLDT (NPI 1124538376) is an individual social worker in Farmington, New Mexico, licensed in New Mexico (SWB-2025-0085) and active in the NPI registry since October 2017. He maintains a secondary practice location in Hobbs.

NPPES Registry Identity

NPI1124538376
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. CARL LEE WAMBOLDT
Location Address1001 WEST BROADWAYFarmington, NM 87401-5638
Mailing Address1001 W Broadway Ste DFarmington, NM 87401-5638 · (505) 327-4796
Phone(505) 327-4796
Sole ProprietorYes
Enumeration DateOctober 2, 2017
Last NPPES UpdateMarch 6, 20252 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
✔ NPI 1124538376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NM · SWB-2025-0085
Definition
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1001 WEST BROADWAY, Farmington, NM 87401
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Secondary Practice Location 1

Location 1920 W Broadway StHobbs, NM 88240-5529 · Phone (575) 393-3168

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY SCOTT HAWKINS PHARMD
Pharmacist
1001 WEST BROADWAY, SUITE D
FARMINGTON, NM 87401
San Juan County (505) 566-0324
FAUN GORDON
Behavior Analyst
1001 WEST BROADWAY
FARMINGTON, NM 87401
San Juan County (505) 326-2695

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carl Wamboldt's NPI number?

The NPI number for Carl Wamboldt is 1124538376. It was assigned to this individual provider in the NPPES registry on October 2, 2017.

Where is Carl Wamboldt located?

Carl Wamboldt practices at 1001 West Broadway, Farmington, NM 87401. The listed phone number is (505) 327-4796.

What is Carl Wamboldt's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Carl Wamboldt was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.