Mary Anne Little, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-09378 Issued in NM

Practice address

1418 Luisa St
Suite 5a
Santa Fe, NM 87505-4091

Phone

(505) 795-6868

NPI assigned

Jul 28, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, FL, NM3 enrollments

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 3

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Serenity Therapeutic Services LLC

  • Clinical Social Worker
  • Corrales, NM
  • NPI 1750155339
  Medicare reassignment Authorized official
• Santa Fe Supportive Therapy, LLC

  • Clinical Social Worker
  • Santa Fe, NM
  • NPI 1043502388
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, GA

  Medicare reassignment NPD
• Ace-Agency for Community Empowerment , Inc.

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1245568930
  NPD (past)

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1386875151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TAOS TRL N",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870489660",
            "telephone_number": "505-670-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 LUISA ST",
            "address_2": "SUITE 5A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054091",
            "telephone_number": "505-795-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5065 Corrales Rd",
            "address_purpose": "LOCATION",
            "city": "Corrales",
            "state": "NM",
            "postal_code": "870488629",
            "country_code": "US",
            "telephone_number": "505-670-7312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Taos Trl N",
            "address_purpose": "LOCATION",
            "city": "Corrales",
            "state": "NM",
            "postal_code": "870489660",
            "country_code": "US",
            "telephone_number": "505-670-7312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "004136",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11166",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Somoza Robles MD LLC
• Listening Sage Associates, Inc.
• Brooke Erin Litteral
• Little Field Counseling LLC
• Charles Erwin Little III, CSW
• Jerald Joseph Littlefield, MD
• William J Litzenberg, MD
• Liveability LLC
• Cynthia Livingston, MA LMHC
• Coby L Livingstone, OTR/L

• Clinical Social Worker in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.