Individual
SAMANTHA M URIOSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
PO BOX 1675, LAS VEGAS, NM 87701-1675
(505) 429-3385
Mailing address
PO BOX 1675, LAS VEGAS, NM 87701-1675
(505) 429-3385
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSA0209461
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2025-0230
NM
1041C0700X
Clinical Social Worker
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63157098
—
NM
Enumeration date
02/19/2020
Last updated
02/27/2026
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