Kevin Wheeler Kluck, LMSW
Social Worker, Clinical in Santa Fe, NM. Individual provider (NPI-1).
NPI number1184102402
StatusActive
Last updated in NPPESMay 19, 2021
Details
- NPI
- 1184102402
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kevin Wheeler Kluck
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 30, 2018
- Certification date
- May 18, 2021
- Last updated
- May 19, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | M-10695 | NM | Yes |
Practice location
826 Camino De Monte Rey Ste A6Santa Fe, NM 87505-3961
Phone 214-538-8219
Mailing address
2095 S Pacheco St Apt C23Santa Fe, NM 87505-0502
Phone 214-538-8219
Other practice locations
4001 Office Court Dr Ste 603
Santa Fe, NM 87507-4905
Santa Fe, NM 87507-4905
Phone 505-310-4764
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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