Active NPI
Samuel Nunez, LCSW
- Clinical Social Worker
- Santa Teresa, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 02067
- Practice address
- 101 Livingston Loop Ste C1
Santa Teresa, NM 88008-9753 - Phone
- (575) 824-9000
- Fax
- (866) 596-6125
- NPI assigned
- Jun 6, 2006
- Last updated
- Nov 25, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | I-07343 | NM | |
| Clinical Social Worker | 1041C0700X | 02067 | TX | Primary |
Addresses
Primary practice location
101 Livingston Loop Ste C1
Santa Teresa, NM 88008-9753
Mailing address
PO Box 1063
Santa Teresa, NM 88008-1063
Phone (575) 824-9000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99436311 | Medicaid | NM | |
| 040468307 | Medicaid | TX | |
| 040468308 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Livingston Loop
Suite 1
Santa Teresa, NM 88008-9753
Phone (575) 824-9000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2067 | TX | MD | Dental Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruben I Aguilar Professional Consulting Services Inc | Current | Accepting new patients | |
| Sunwest Behavioral Associates PA | Past | Accepting new patients | |
| Long Term Care Services, LP | Past | Accepting new patients |
Locations
10761 Pebble Hills Blvd
Ste F
El Paso, TX 79935
Phone (915) 594-8685
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Santa Teresa, NM
- NPI 1275858490
-
dba Counseling Services of Texas
- Mental Health Counselor
- El Paso, TX
- NPI 1386960169
-
- Clinical Psychologist
- San Antonio, TX
- NPI 1639191547
-
- Psychiatry Physician
- El Paso, TX
- NPI 1053578021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1083654537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1063",
"city": "SANTA TERESA",
"state": "NM",
"postal_code": "880081063",
"telephone_number": "575-824-9000",
"fax_number": "866-596-6125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 LIVINGSTON LOOP STE C1",
"city": "SANTA TERESA",
"state": "NM",
"postal_code": "880089753",
"telephone_number": "575-824-9000",
"fax_number": "866-596-6125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ",
"first_name": "SAMUEL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "I-07343",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "02067",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99436311",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040468307",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040468308",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Teresa, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.