SAMANTHA T WILLIS LBSW
NPI 1518513316
Social Worker - School in Deming, NM

Q: What is the provider's specialty?

The provider's specialty is Social Worker with taxonomy code 1041S0200X and a focus in School.

Active since August 16, 2019

1321 E POPLAR ST, DEMING, NM 88030(575) 546-5951(575) 546-5994 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Samantha T Willis Lbsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA T WILLIS LBSW (NPI 1518513316) is an individual school provider in Deming, New Mexico, licensed in New Mexico (B-3929) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1518513316

Entity TypeIndividualFemale

Primary Taxonomy1041S0200X

Provider Legal NameSAMANTHA T WILLISCredential: LBSW

Location Address1321 E POPLAR STDeming, NM 88030-4807

Mailing Address1321 E Poplar StDeming, NM 88030-4807 · (575) 546-5951 · Fax (575) 546-5994

Phone(575) 546-5951

Fax(575) 546-5994

Sole ProprietorNo

Enumeration DateAugust 16, 2019

✔ NPI 1518513316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers

Taxonomy Code1041S0200X

License✔ Licensed in NM · B-3929

1321 E POPLAR ST, Deming, NM 88030

Open in Google Maps ↗

Other Identifiers 1

Medicaid61353311NM

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMELA FRANZOY RN

Registered Nurse (School)