Healthcare Provider Details

I. General information

NPI: 1811883499
Provider Name (Legal Business Name): DANIELA ROMERO MONTOYA-BARTHELEMY MPH, SEP, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1336 LAFAYETTE DR NE
ALBUQUERQUE NM
87106-1123
US

IV. Provider business mailing address

1336 LAFAYETTE DR NE
ALBUQUERQUE NM
87106-1123
US

V. Phone/Fax

Practice location:
  • Phone: 505-615-8484
  • Fax: 505-615-8484
Mailing address:
  • Phone: 505-615-8484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWB-2025-0475
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: