Individual provider Active NPI

Samantha Kay Nelums, LCSW

  • Social Worker
  • Albuquerque, NM
National Provider Identifier
1417472051
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SWB-2022-1177 Issued in NM
Practice address
4588 Paradise Blvd NW
Albuquerque, NM 87114-4105
Phone
(505) 923-2070
Fax
(505) 998-1710
NPI assigned
Aug 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 114779 CA
Social Worker 104100000X SWB-2022-1177 NM Primary

Addresses

Primary practice location

4588 Paradise Blvd NW
Albuquerque, NM 87114-4105

Mailing address

PO Box 50022
Albuquerque, NM 87181-0022
Phone (505) 633-6803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250122001694 NM Practitioner - Clinical Social Worker 0547799454 Reassigns benefits to 1 organization
I20250912000060 CA Practitioner - Clinical Social Worker 0547799454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

315 Camino del Remedio
Suite 258
Santa Barbara, CA 93110-1332

315 Camino del Remedio
Suite 258
Santa Barbara, CA 93110-1371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara County County Auditor CurrentSince Aug 8, 2025 Accepting new patients
Authentic Minds Therapy Clinical CurrentSince Sep 1, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jan 1, 2025 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jan 1, 2025 Accepting new patients
Santa Barbara County Auditor CurrentSince Aug 8, 2025 Accepting new patients
County of Inyo PastSince Jul 1, 2022 Accepting new patients

Locations

315 Camino del Remedio
Ste 258
Santa Barbara, CA 93110
Phone (626) 989-3321

4444 Calle Real
Santa Barbara, CA 93110
Phone (805) 681-5190

429 N San Antonio Rd
Santa Barbara, CA 93110
Phone (805) 884-1600

4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

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": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1417472051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50022",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871810022",
            "telephone_number": "505-633-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4588 PARADISE BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144105",
            "telephone_number": "505-923-2070",
            "fax_number": "505-998-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELUMS",
        "first_name": "SAMANTHA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2025-07-29",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "114779",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "SWB-2022-1177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.