Active NPI
Rebecca Michelle Sonnenberg, LCSW
- Clinical Social Worker
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-11013
- Practice address
- 7510 Montgomery Blvd NE Ste 202
Albuquerque, NM 87109-1500 - Phone
- (505) 933-1978
- Fax
- (575) 339-2780
- NPI assigned
- Oct 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | M-09365 | NM | |
| Clinical Social Worker | 1041C0700X | C-11013 | NM | Primary |
Addresses
Primary practice location
7510 Montgomery Blvd NE Ste 202
Albuquerque, NM 87109-1500
Mailing address
7510 Montgomery Blvd NE Ste 202
Albuquerque, NM 87109-1500
Phone (505) 933-1978
Other practice location 1
4101 Barbara Loop SE Ste C
Rio Rancho, NM 87124-1011
Phone (505) 933-1978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13025210 | Medicaid | NM |
Other names 1
- Rebecca Michelle Smith
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
9400 Holly Ave NE
BLDG 4
Albuquerque, NM 87122-2969
Phone (505) 596-0254
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-09365 | NM | MD | Counselor |
| C-11013 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waves Behavioral Health | Current | Accepting new patients | |
| Healing Addiction in Our Community | Past | Accepting new patients |
Locations
9400 Holly Ave NE
Bldg 4
Albuquerque, NM 87122
Phone (505) 336-0403
7510 Montgomery Blvd NE
Ste 202
Albuquerque, NM 87109
Phone (505) 514-3972
4101 Barbara Loop SE
Ste C
Rio Rancho, NM 87124
Phone (505) 315-3541
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1710645494
-
dba Serenity Mesa Recovery Center
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1275910101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1881238202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7510 MONTGOMERY BLVD NE STE 202",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091500",
"telephone_number": "505-933-1978",
"fax_number": "575-339-2780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7510 MONTGOMERY BLVD NE STE 202",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091500",
"telephone_number": "505-933-1978",
"fax_number": "575-339-2780"
}
],
"practiceLocations": [
{
"address_1": "4101 Barbara Loop SE Ste C",
"address_purpose": "LOCATION",
"city": "Rio Rancho",
"state": "NM",
"postal_code": "871241011",
"country_code": "US",
"telephone_number": "505-933-1978",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SONNENBERG",
"first_name": "REBECCA",
"middle_name": "MICHELLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-29",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "M-09365",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-11013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13025210",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "SMITH",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.