Samantha Carrillo
Samantha Carrillo is a Clinical Social Worker in Peralta, New Mexico. Qualified in 2015, 11 years ago. Practices with Faith Works Counseling, LLC, a 3-clinician group and accepts Medicare assignment.
- Years since qualifying
- 11
- In the registry since
- 2015
Practice location Address checks out
8 Silvana CtPeralta, NM 87042-8871
Phone: (505) 550-6869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1851779078 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 7, 2015 |
| Last updated in NPPES | May 7, 2015 |
| Mailing address | 8 Silvana Ct, Peralta, NM 87042-8871 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Faith Works Counseling, Llc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |