Provider Demographics
NPI:1891672887
Name:MONTOYA, ANGELICA (LMSW)
Entity type:Individual
Prefix:MS
First Name:ANGELICA
Middle Name:
Last Name:MONTOYA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 902
Mailing Address - Street 2:
Mailing Address - City:SPRINGER
Mailing Address - State:NM
Mailing Address - Zip Code:87747-0902
Mailing Address - Country:US
Mailing Address - Phone:575-643-5676
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 902
Practice Address - Street 2:
Practice Address - City:SPRINGER
Practice Address - State:NM
Practice Address - Zip Code:87747-0902
Practice Address - Country:US
Practice Address - Phone:575-643-5676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMM-11865104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker