Dominica Montano, LCSW – Clinical Social Worker

Key facts

NPI: 1164060976
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: C-11036 (NM)
Practice address: 235 Hackberry Dr
Pass Christian, MS 39571-2302
Phone: (505) 288-1105
NPI assigned: Dec 12, 2019
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Changing Seasons Therapy, LLC Clinical Social Worker · Albuquerque, NM · NPI 1174406987

Medicare reassignment NPD CLINICAL · NM

Medicare Care Compare profile

Specialty: Clinical Social Worker
Education: Other, 2011
Medicare assignment: Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

119 Quail Hill TRL
Pena Blanca, NM 87041-5106

4804 Overland St NE
Albuquerque, NM 87109-2667

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 ID	State	Provider type	PAC ID	Details
I20251008000155	NM	Practitioner - Clinical Social Worker	9234636143	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
C-11036	NM	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Changing Seasons Therapy, LLC	Clinical	Current since Aug 24, 2025	Accepting new patients

Locations

2601 Wyoming Blvd NE
Ste 212
Albuquerque, NM 87112
Phone (505) 288-1105

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	C-11036	NM	Yes

Addresses

Primary practice location

235 Hackberry Dr
Pass Christian, MS 39571-2302

Mailing address

235 Hackberry Dr
Pass Christian, MS 39571-2302
Phone (505) 288-1105

Other providers in Pass Christian, MS

All providers in Pass Christian, MS · Clinical Social Worker in Mississippi

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.