JERRY WOODLE
NPI 1962018697
Social Worker - Clinical in Albuquerque, NM

Active since September 17, 2020
702 BROADWAY BLVD SE, ALBUQUERQUE, NM 87102(505) 394-8412 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2025, Oct 1, 2020, Sep 17, 2020 (3 updates tracked since 2020).

About Jerry Woodle NPPES

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

JERRY WOODLE (NPI 1962018697) is an individual clinical provider in Albuquerque, New Mexico and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1962018697
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJERRY WOODLE
Location Address702 BROADWAY BLVD SEAlbuquerque, NM 87102-4285
Mailing Address819 Forrester Ne, Apt BAlbuquerque, NM 87102 · (505) 394-8412
Sole ProprietorYes
Enumeration DateSeptember 17, 2020
Last NPPES UpdateNovember 17, 20253 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
NPI 1962018697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
702 BROADWAY BLVD SE, Albuquerque, NM 87102

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 Jerry Woodle's NPI number?

The NPI number for Jerry Woodle is 1962018697. It was assigned to this individual provider in the NPPES registry on September 17, 2020.

Where is Jerry Woodle located?

Jerry Woodle practices at 702 Broadway Blvd SE, Albuquerque, NM 87102. The listed phone number is (505) 394-8412.

What is Jerry Woodle's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jerry Woodle was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.