Individual provider Active NPI

Rebecca Michelle Sonnenberg, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1881238202
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-11013 Issued in NM
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

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
13025210MedicaidNM

Other names 1

  • Rebecca Michelle Smith Former name

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
I20200331001028 NM Practitioner - Clinical Social Worker 4880023639 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
M-09365NMMDCounselor
C-11013NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Waves Behavioral Health CurrentSince Dec 6, 2021 Accepting new patients
Healing Addiction in Our Community PastSince Nov 1, 2019 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.

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

Verify at the official NPI Registry.