Individual provider Active NPI

Robert E Montoya, LCSW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1376294165
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2504 Camino Entrada
Santa Fe, NM 87507-4851
Phone
(505) 216-2727
NPI assigned
Jan 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SWB-2024-1191 NM
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2504 Camino Entrada
Santa Fe, NM 87507-4851

Mailing address

420 N 11TH St
Belen, NM 87002-3004
Phone (505) 291-5300

Other practice location 1

420 N 11th St
Belen, NM 87002-3004
Phone (505) 291-5300

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
I20250307003052 NM Practitioner - Clinical Social Worker 1759802671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

420 N 11TH St
Belen, NM 87002-3004

500 Westover Dr
Sanford, NC 27330-8941

PO Box
Suite 28164
Santa Fe, NM 87592-8164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2024-1191NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Mar 5, 2025 Accepting new patients
Teambuilders Behavioral Health, LLC CurrentSince Apr 7, 2025 Accepting new patients
Building Resilience LLC Clinical CurrentSince Aug 10, 2025 Accepting new patients
Teambuilders Behavioral Health, LLC Clinical Current Accepting new patients
Teambuilders Behavioral Health, LLC CurrentSince Apr 7, 2025 Accepting new patients
Central New Mexico Counseling Services, LLC Past Accepting new patients

Locations

500 Marquette Ave NW
Albuquerque, NM 87102
Phone (505) 429-5750

428 Los Lentes Rd SE
Ste 3
Los Lunas, NM 87031
Phone (505) 216-2727

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 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1376294165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N 11TH ST",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023004",
            "telephone_number": "505-291-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 CAMINO ENTRADA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074851",
            "telephone_number": "505-216-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 N 11th St",
            "address_purpose": "LOCATION",
            "city": "Belen",
            "state": "NM",
            "postal_code": "870023004",
            "country_code": "US",
            "telephone_number": "505-291-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "ROBERT",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-12",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "SWB-2024-1191",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.