Nathan Matthew Padilla, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-09926 Issued in NM

Practice address

1717 W 2ND St Ste 116
Roswell, NM 88201-2027

Phone

(575) 840-1075

Fax

(575) 623-1240

NPI assigned

Sep 17, 2009

Last updated

Oct 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Familia Mental Health ServicesGroup PAC ID 7012287402, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

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.

• Embrace, Inc.

  • Community/Behavioral Health Agency
  • Roswell, NM
  • NPI 1265761449
  Medicare reassignment NPD Authorized official
• La Familia Mental Health Services

  • Community/Behavioral Health Agency
  • Roswell, NM
  • NPI 1134450364
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1801129184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4425",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882024425",
            "telephone_number": "575-840-1075",
            "fax_number": "575-623-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W 2ND ST STE 116",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882012027",
            "telephone_number": "575-840-1075",
            "fax_number": "575-623-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "NATHAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-17",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39221008",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Gullas Pabellano, PT, DPT, GCS
• Audrey Pacheco
• Joangelique Hopida Pacquing, PT
• Angelo Padilla
• Ben Richard Padilla, DDS
• Mayra Palomares Hinojos
• Rebecca Palomino, RN
• Pamela W Linnell PH D P C
• Pangea Medical Globus
• Pangea Medical LLC (Pangea Medical)

• Clinical Social Worker in Roswell, NM
• Providers in Roswell, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.

Verify at the official NPI Registry.