Individual provider Active NPI

Samantha Parker-Zillich, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1710402680
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-11891 Issued in NM
Practice address
4619 Greene St NW Ste C
Albuquerque, NM 87114-4899
Phone
(505) 226-2232
NPI assigned
Aug 11, 2017
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-11891 NM Primary
Case Manager/Care Coordinator 171M00000X NM
Case Manager/Care Coordinator 171M00000X C-11891 NM

Addresses

Primary practice location

4619 Greene St NW Ste C
Albuquerque, NM 87114-4899

Mailing address

4619 Greene St NW Ste C
Albuquerque, NM 87114-4899
Phone (505) 226-2232

Other practice location 1

4201 Carlisle Blvd NE
Albuquerque, NM 87107-4808
Phone (505) 717-1332

Other names 1

  • Samantha Parker-Zillich Other name

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
I20211027001063 NM Practitioner - Clinical Social Worker 9638567480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Mindful Counseling LLCGroup PAC ID 7113391319, 4 clinicians

Practice addresses (Care Compare)

Albuquerque, NM 87120
Phone (505) 414-4480

4619 Greene St NW
Suite C
Albuquerque, NM 87114-4899
Phone (505) 899-9329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-11891NMMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Sparkz Therapy LLC Clinical Current Accepting new patients
Mindful Counseling LLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

4619 Greene St NW
Ste C
Albuquerque, NM 87114
Phone (505) 899-9329

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1710402680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 GREENE ST NW STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144899",
            "telephone_number": "505-226-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 GREENE ST NW STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144899",
            "telephone_number": "505-226-2232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Carlisle Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871074808",
            "country_code": "US",
            "telephone_number": "505-717-1332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER-ZILLICH",
        "first_name": "SAMANTHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-11891",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NM",
            "license": "C-11891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "PARKER-ZILLICH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.