Active NPI
Monica T Villa, LCSW
- Social Worker
- Las Vegas, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SWB-2023-0576
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74924206 | Medicaid | NM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| SWB-2023-0576 | NM | MD | Social Worker |
| M-08131 | NM | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Clinics | Social Worker | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Santa Rosa, NM
- NPI 1164055927
Social Worker
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.