Individual provider Active NPI

Michael Montoya, LMSW

  • Social Worker
  • Santa Rosa, NM
National Provider Identifier
1770017055
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M-09888 Issued in NM
Practice address
117 Camino de Vida Ste 300
Santa Rosa, NM 88435-2267
Phone
(575) 472-4311
Fax
(877) 651-0289
NPI assigned
Apr 13, 2017
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M-09888 NM Primary

Addresses

Primary practice location

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

Mailing address

841 Lake Dr
Santa Rosa, NM 88435-2560
Phone (575) 512-9082

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
I20250307002475 NM Practitioner - Clinical Social Worker 3678094588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Clinics Social Worker CurrentSince Feb 24, 2025 Accepting new patients

Locations

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

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

717 S 3rd St
Santa Rosa, NM 88435
Phone (575) 472-3422

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, 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": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1770017055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 LAKE DR",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "884352560",
            "telephone_number": "575-512-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CAMINO DE VIDA STE 300",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "884352267",
            "telephone_number": "575-472-4311",
            "fax_number": "877-651-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-09888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, NM

Sources for this page

Verify at the official NPI Registry.