Rosa Gallegos Samora LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ROSA GALLEGOS SAMORA LCSW LLC

Practice address

8312 Tina Dr NE
Albuquerque, NM 87109-5239

Phone

(505) 385-5025

NPI assigned

Mar 17, 2020

Organization subpart

No

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

Authorized official

Name

Rosa Gallegos SamoraNPI 1063871622

Title

Owner

Phone

(505) 385-5025

Specialties & licenses 1

Addresses

Other names 1

• Blue Bird Healing Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rosa Gallegos Samora, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1063871622
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1932735404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8312 TINA DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8312 TINA DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095239",
            "telephone_number": "505-385-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA GALLEGOS SAMORA LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS SAMORA",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-385-5025"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Bird Healing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Bird Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Van Roper, FNP-C, PHD
• Ivan Marie Roque, LCSW
• Janna Rorebeck, APRN-CNP
• Warren J Rorebeck, OD
• Rosa E Munoz PHD LLC
• Claudia Rosa Gordillo
• Bianca Ibeth Rosales
• Pricilla Rosales
• Rosalind Epstein MD Professional Corporation
• Peter Rosandich, M.D.

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, 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 Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.