Individual provider Active NPI

Cynthia Sontag, MSWAC, LCSW, SAP

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1780785212
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-1991 Issued in NM
Practice address
4901 Lang Ave NE
Albuquerque, NM 87109-4397
Phone
(505) 842-8171
Fax
(505) 246-0684
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-1991 NM Primary

Addresses

Primary practice location

4901 Lang Ave NE
Albuquerque, NM 87109-4397

Mailing address

310 13TH St NW
Albuquerque, NM 87102-1834
Phone (505) 263-1001

Other practice location 1

3500 Comanche Rd NE
Albuquerque, NM 87107-4546
Phone (505) 263-1001

Other identifiers 1

IdentifierTypeStateIssuer
99294MedicaidNM

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
I20090428000378 NM Practitioner - Clinical Social Worker 2567510704 Reassigns benefits to 1 organization
Practice locations: Albuquerque, NM

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3500 Comanche Rd NE
Albuquerque, NM 87107-4546
Phone (505) 263-1001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-1991NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Oncology Hematology Consultants, LTD. CurrentSince Nov 1, 2020 Accepting new patients
Cynthia Sontag, LCSW Clinical Past Accepting new patients

Locations

4901 Lang Ave NE
Albuquerque, NM 87109
Phone (505) 828-3877

2240 College Dr
Gallup, NM 87301
Phone (505) 297-1052

Organizations & group practices 3

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1780785212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 13TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021834",
            "telephone_number": "505-263-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 LANG AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094397",
            "telephone_number": "505-842-8171",
            "fax_number": "505-246-0684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 COMANCHE RD NE",
            "address_purpose": "LOCATION",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074546",
            "country_code": "US",
            "telephone_number": "505-263-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONTAG",
        "first_name": "CYNTHIA",
        "credential": "MSWAC, LCSW, SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-1991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99294",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.