Individual provider Active NPI

Erica Montoya-Heath, LCSW

  • Clinical Social Worker
  • Corrales, NM
National Provider Identifier
1821467374
Registry record updated Apr 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-09226 Issued in NM
Practice address
3949 Corrales Rd Ste 205
Corrales, NM 87048-9348
Phone
(505) 385-0439
NPI assigned
Sep 15, 2015
Last updated
Apr 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C-09226 NM
Clinical Social Worker 1041C0700X C-09226 NM Primary

Addresses

Primary practice location

3949 Corrales Rd Ste 205
Corrales, NM 87048-9348

Mailing address

PO Box 66861
Albuquerque, NM 87193-6861
Phone (505) 918-9690

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
I20241001000746 NM Practitioner - Clinical Social Worker 7113458241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Mexico Counseling CenterGroup PAC ID 1759720782, 4 clinicians

Practice addresses (Care Compare)

3949 Corrales Rd
Suite 205
Corrales, NM 87048-9348
Phone (505) 385-0439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-09226NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Counseling Center CurrentSince Aug 23, 2024 Accepting new patients
Bosque Mental Health Associates, Inc. Clinical PastSince Jan 30, 2017 Accepting new patients

Locations

3949 Corrales Rd
Ste 205
Corrales, NM 87048
Phone (505) 385-0439

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": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713657600000",
    "number": "1821467374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66861",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871936861",
            "telephone_number": "505-918-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 CORRALES RD STE 205",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870489348",
            "telephone_number": "505-385-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA-HEATH",
        "first_name": "ERICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2024-04-21",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "C-09226",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corrales, NM

Sources for this page

Verify at the official NPI Registry.