Individual provider Active NPI

Anna Murtagh, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1073088142
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-10053 Issued in NM
Practice address
6612 Gulton CT NE Ste a
Albuquerque, NM 87109-4407
Phone
(505) 888-1686
Fax
(505) 888-1683
NPI assigned
Oct 4, 2018
Last updated
Oct 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-10053 NM Primary

Addresses

Primary practice location

6612 Gulton CT NE Ste a
Albuquerque, NM 87109-4407

Mailing address

7563 Prairie Rd NE
Albuquerque, NM 87109-1828
Phone (702) 277-6287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240703003183 NM Practitioner - Clinical Social Worker 8921542713 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Behavioral Services of Albuquerque, LLC CurrentSince Jun 1, 2024 Accepting new patients
Delaney Counseling Clinical Current Accepting new patients

Locations

5400 Gibson Blvd SE
Ste 4
Albuquerque, NM 87108
Phone (505) 254-4500

3102 West End Ave
Ste 1000
Nashville, TN 37203

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1073088142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7563 PRAIRIE RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091828",
            "telephone_number": "702-277-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 GULTON CT NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094407",
            "telephone_number": "505-888-1686",
            "fax_number": "505-888-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTAGH",
        "first_name": "ANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.