Individual provider Active NPI

Samantha Senaida Hayas, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1083374573
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-11840 Issued in NM
Practice address
5201 Venice Ave NE Ste a
Albuquerque, NM 87113-2337
Phone
(505) 916-2007
NPI assigned
Dec 23, 2021
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-11840 NM Primary

Addresses

Primary practice location

5201 Venice Ave NE Ste a
Albuquerque, NM 87113-2337

Mailing address

1957 Calle Cristo
Santa Fe, NM 87507-8475
Phone (505) 920-4771

Other practice location 1

500 Unser Blvd SE Ste A
Rio Rancho, NM 87124-4660
Phone (505) 404-0554

Other practice location 2

2504 Camino Entrada
Santa Fe, NM 87507-4851
Phone (505) 216-2727

Other names 1

  • Samantha S Montano Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250407000053 NM Practitioner - Clinical Social Worker 7416471990 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-11840NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teambuilders Behavioral Health, LLC CurrentSince Apr 7, 2025 Accepting new patients
A Childs Voice CurrentSince Dec 26, 2021 Accepting new patients
Teambuilders Behavioral Health, LLC Clinical CurrentSince Apr 7, 2025 Accepting new patients

Locations

5201 Venice Ave NE
Ste A
Albuquerque, NM 87113
Phone (505) 796-6367

2504 Camino Entrada
Santa Fe, NM 87507
Phone (505) 216-2727

105 Paseo del Canon W
Taos, NM 87571
Phone (575) 751-7037

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1083374573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1957 CALLE CRISTO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875078475",
            "telephone_number": "505-920-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 VENICE AVE NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132337",
            "telephone_number": "505-916-2007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Unser Blvd SE Ste A",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871244660",
            "country_code": "US",
            "telephone_number": "505-404-0554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2504 Camino Entrada",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875074851",
            "country_code": "US",
            "telephone_number": "505-216-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYAS",
        "first_name": "SAMANTHA",
        "middle_name": "SENAIDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-11840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "MONTANO",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.