Individual provider Active NPI

Annai Burrola, MSW, LCSW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1386301471
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2022-1127 Issued in NM
Practice address
4117 Chaparron PL
Santa Fe, NM 87507-2770
Phone
(505) 570-0940
NPI assigned
Nov 23, 2021
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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 SWB-2022-1127 NM Primary

Addresses

Primary practice location

4117 Chaparron PL
Santa Fe, NM 87507-2770

Mailing address

4117 Chaparron PL
Santa Fe, NM 87507-2770
Phone (505) 570-0940

Other practice location 1

1660 Old Pecos Trl Ste A
Santa Fe, NM 87505-4779
Phone (505) 657-9708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2022-1127NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Healthworks LLC Clinical PastSince Apr 1, 2020 Accepting new patients

Organizations & group practices 1

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": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1386301471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 CHAPARRON PL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072770",
            "telephone_number": "505-570-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 CHAPARRON PL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072770",
            "telephone_number": "505-570-0940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 Old Pecos Trl Ste A",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875054779",
            "country_code": "US",
            "telephone_number": "505-657-9708",
            "fax_number": "505-395-9295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURROLA",
        "first_name": "ANNAI",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2024-07-26",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2022-1127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.