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Active NPI 1518513316 Individual Practitioner Female Practitioner

Samantha T Willis , LBSW

Social Worker - School • Deming, NM

Professional Overview & Biography Verified Profile Summary

Samantha Willis, LBSW is a registered healthcare professional specializing in Social Worker - School in Deming, NM. Practice services are available at 1321 E POPLAR ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1321 E Poplar St

Deming, NM 880304807

Telephone 5755465951
Fax 5755465994
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - School in Deming, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Deming, NM (556 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - School Primary Specialty

NUCC Taxonomy Code: 1041S0200X

State License NM B-3929

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
61353311 (NM)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Tessa Penn-Smith

Speech-Language Pathologist

NPI 1194151852
NPI 1225764764

Licensed Master Social Worker

Evangeline Randall , OT

Occupational Therapist

NPI 1235807843

Occupational Therapist

Javier Salas , LSP

Psychologist - School

NPI 1275165656
Lauren Lustek , MS, CCC-SLP

Speech-Language Pathologist

NPI 1386371151

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

John Geier , MA, CCC-SLP

Speech-Language Pathologist

NPI 1477157402

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 16, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2019

Registered at 1321 E POPLAR ST, DEMING, NM 880304807 (Tel: 5755465951)

📍
Updated Business Mailing Address August 16, 2019

Registered at 1321 E POPLAR ST, DEMING, NM 880304807 (Tel: 5755465951)

👤
Provider Name / Credentials Updated August 16, 2019

Recorded as SAMANTHA WILLIS, LBSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2019

Social Worker (License #B-3929 in NM)

🟢
Initial NPI Registration & Enumeration August 16, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518513316
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2019
Last Update: August 16, 2019
Sole Proprietor: No

Mailing Address

1321 E Poplar St

Deming, NM 880304807

Phone: 5755465951

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.