Individual provider Active NPI

Anna R Krutsky, LCSW

  • Clinical Social Worker
  • Farmington, NM
National Provider Identifier
1649402991
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-08509 Issued in NM
Practice address
1515 E 20TH St Ste B
Farmington, NM 87401-9039
Phone
(505) 566-5867
NPI assigned
Aug 20, 2009
Last updated
May 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-08509 NM Primary
Clinical Social Worker 1041C0700X X-08302 NM

Addresses

Primary practice location

1515 E 20TH St Ste B
Farmington, NM 87401-9039

Mailing address

1515 E 20TH St Ste B
Farmington, NM 87401-9039
Phone (505) 566-5867

Other identifiers 8

IdentifierTypeStateIssuer
50876544MedicaidNM
1649402991OtherNMOPTUMHEALTH
1649402991OtherNMPRESBYTERIAN HEALTH PLAN
4902099OtherNMCIGNA BH
1649402991OtherNMBCBS OF NM
1649402991OtherNMAMERIGROUP
1649402991OtherNMNEW MEXICO HEALTH CONNECTIONS
1649402991OtherNMMOLINA HEALTHCARE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-08509NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan County Partnership Current 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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1649402991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E 20TH ST STE B",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019039",
            "telephone_number": "505-566-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E 20TH ST STE B",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019039",
            "telephone_number": "505-566-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUTSKY",
        "first_name": "ANNA",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-08509",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "X-08302",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50876544",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUMHEALTH",
            "identifier": "1649402991",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLAN",
            "identifier": "1649402991",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BH",
            "identifier": "4902099",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NM",
            "identifier": "1649402991",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "1649402991",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO HEALTH CONNECTIONS",
            "identifier": "1649402991",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE",
            "identifier": "1649402991",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.