Mindy McClung, MSW

Individual provider Active NPI Clinical Social Worker · Cerrillos, NM

NPI 1134598303 · NPPES record last updated Jul 6, 2026

Key facts

NPI
1134598303
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
X-09299 (NM)
Practice address
4 Cave Rd
Cerrillos, NM 87010-9730
Phone
(505) 231-8550
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4 Cave Rd
Cerrillos, NM 87010-9730
Phone (505) 231-8550

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200115002149 NM Practitioner - Clinical Social Worker 0345675591 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
X-09299NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Daybreak Councelors, LLC Clinical Current
since Mar 17, 2024
Accepting new patients
Earth Spirit Awakenings LLC Current
since Dec 1, 2019
Accepting new patients
Indigo Sky Counseling, LLC Clinical Current
since Feb 4, 2024
Accepting new patients
Mesa Vista Wellness Past Accepting new patients

Locations

4001 Office Court Dr
Ste 102
Santa Fe, NM 87507
Phone (505) 395-9437

4001 Office Court Dr
Ste 403
Santa Fe, NM 87507
Phone (505) 395-9456

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X X-09299 NM Yes

Addresses

Primary practice location

4 Cave Rd
Cerrillos, NM 87010-9730

Mailing address

20 Bonito Rd
Santa Fe, NM 87508-8792
Phone (505) 231-8550

Other providers in Cerrillos, NM

All providers in Cerrillos, NM · Clinical Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.