Individual provider Active NPI

Angelo Sandoval, LCSW

  • Clinical Social Worker
  • Espanola, NM
National Provider Identifier
1902289572
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
612 N Paseo de Onate
Espanola, NM 87531
Phone
(505) 753-3303
NPI assigned
Jul 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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 Primary

Addresses

Primary practice location

612 N Paseo de Onate
Espanola, NM 87531

Mailing address

P.O. Box 520
Espanola, NM 87532
Phone (505) 753-2203

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
I20250115001138 NM Practitioner - Clinical Social Worker 6204364417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Clinics LLCGroup PAC ID 5597136218, 49 clinicians

Practice addresses (Care Compare)

313 N Locke Ave
Farmington, NM 87401-5854
Phone (505) 787-2367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Clinics LLC Current Accepting new patients
La Pleve Consulting, LLC Clinical Current Accepting new patients
Rocky Mountain Clinics, LLC CurrentSince Nov 11, 2024 Accepting new patients
Rocky Mountain Clinics, LLC CurrentSince Nov 11, 2024 Accepting new patients
Rocky Mountain Clinics LLC Past Accepting new patients

Locations

1120 E Elizabeth St
Ste 2
Fort Collins, CO 80524

717 Encino Pl NE
Ste 12
Albuquerque, NM 87102
Phone (505) 242-5373

610 Calle Vigil
Espanola, NM 87532
Phone (505) 753-9407

313 N Locke Ave
Farmington, NM 87401
Phone (505) 787-2367

3850 Foothills Rd
Ste 1
Las Cruces, NM 88011
Phone (575) 300-1022

105 Paseo del Canon W
Ste A
Taos, NM 87571
Phone (575) 737-5533

Organizations & group practices 5

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": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1902289572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 520",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "87532",
            "telephone_number": "505-753-2203",
            "fax_number": "505-747-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N PASEO DE ONATE",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "87531",
            "telephone_number": "505-753-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ANGELO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Espanola, NM

Sources for this page

Verify at the official NPI Registry.