Individual provider Active NPI

Monica T Villa, LCSW

  • Social Worker
  • Las Vegas, NM
National Provider Identifier
1447894449
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SWB-2023-0576 Issued in NM
Practice address
2020 7TH St
Las Vegas, NM 87701-4958
Phone
(505) 330-0830
NPI assigned
Nov 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041S0200X M-08131 NM
Social Worker 104100000X SWB-2023-0576 NM Primary

Addresses

Primary practice location

2020 7TH St
Las Vegas, NM 87701-4958

Mailing address

117 Camino de Vida Ste 300
Santa Rosa, NM 88435-2267

Other practice location 1

1024 S Pacific Street
Las Vegas, NM 87701
Phone (575) 426-2599

Other identifiers 1

IdentifierTypeStateIssuer
74924206MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.sanchez@sunrisnm.org Direct Sunrise Clinics

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
I20231004002157 NM Practitioner - Clinical Social Worker 1456706852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise ClinicsGroup PAC ID 6800226374, 33 clinicians

Practice addresses (Care Compare)

117 Camino de Vida
Suite 300
Santa Rosa, NM 88435-2267
Phone (575) 472-4311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2023-0576NMMDSocial Worker
M-08131NMMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Clinics Social Worker CurrentSince Sep 1, 2023 Accepting new patients

Locations

901 Baca St
Las Vegas, NM 87701
Phone (505) 454-3218

1024 S Pacific St
Las Vegas, NM 87701
Phone (505) 426-2564

2020 7th St
Las Vegas, NM 87701
Phone (505) 425-6731

117 Camino de Vida
Ste 300
Santa Rosa, NM 88435
Phone (575) 472-4311

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.

NPI Registry JSON

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1447894449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CAMINO DE VIDA STE 300",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "884352267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 7TH ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014958",
            "telephone_number": "505-330-0830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1024 S Pacific Street",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NM",
            "postal_code": "87701",
            "country_code": "US",
            "telephone_number": "575-426-2599",
            "fax_number": "877-553-1272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLA",
        "first_name": "MONICA",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "M-08131",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "SWB-2023-0576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74924206",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.sanchez@sunrisnm.org",
            "affiliation": "Y",
            "endpointDescription": "Credentialing",
            "affiliationName": "Sunrise Clinics",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "117 Camino De Vida Ste 300",
            "city": "Santa Rosa",
            "state": "NM",
            "country_code": "US",
            "postal_code": "884352267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

Verify at the official NPI Registry.