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

Mr. Carl Lee Wamboldt

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124538376

Mr. Carl Lee Wamboldt is a Student in an Organized Health Care Education/Training Program in Farmington, New Mexico. Practices as a sole proprietor and works from 2 locations. Licensed in New Mexico.

Licensed in
NM
In the registry since
2017
Specialties on file
3

Practice location Address checks out

1001 W Broadway
Farmington, NM 87401-5638
Phone: (505) 327-4796
Show map & directions

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

Additional practice locations (1)

  • 920 W Broadway St, Hobbs, NM 88240-5529 — (575) 393-3168

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence SWB-2025-0085 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1124538376
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 2, 2017
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025

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