Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Ryan Wagner

Individual provider Clinical Social Worker · NPI 1053041137

Matthew Ryan Wagner is a Clinical Social Worker in Santa Fe, New Mexico. Qualified in 2022, 4 years ago. Licensed in New Mexico.

Years since qualifying
4
Licensed in
NM
In the registry since
2022

Practice location Address checks out

6601 Valentine Way
Santa Fe, NM 87507-7301
Phone: (505) 988-1951
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SWB-2022-0777 (NM)

Record details

NPI number1053041137
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 13, 2022
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025
Mailing address6601 Valentine Way, Santa Fe, NM 87507-7301

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Santa Fe