NPIMap

Jessica Benavidez, LMSW

Individual provider Active NPI Social Worker · Las Vegas, NM

NPI 1104422302 · NPPES record last updated Jun 25, 2024

Key facts

NPI
1104422302
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
M-11870
Practice address
1235 8TH St
Las Vegas, NM 87701-4219
Phone
(505) 425-6788
Fax
(505) 747-7396
NPI assigned
Dec 11, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 10

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro Family Health Past Accepting new patients
El Centro Family Health Past Accepting new patients
El Centro Family Health Past Accepting new patients
El Centro Family Health Past Accepting new patients
El Centro Family Health Past Accepting new patients
El Centro Family Health Past Accepting new patients
El Centro Family Health Past Accepting new patients
El Centro Family Health Past Accepting new patients
El Centro Family Health Past Accepting new patients
El Centro Family Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M-11870 Yes
Mental Health Counselor 101YM0800X X-11743 NM

Addresses

Primary practice location

1235 8TH St
Las Vegas, NM 87701-4219

Mailing address

PO Box 158
Espanola, NM 87532-0158
Phone (505) 753-7218

Other names

  • Jessica Montano Former name

Other providers in Las Vegas, NM

All providers in Las Vegas, NM · Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.