Anika M Kelso, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-06699 Issued in NM

Practice address

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

Phone

(505) 795-6868

Fax

(505) 926-0906

NPI assigned

Aug 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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.

• Santa Fe Supportive Therapy, LLC

  • Clinical Social Worker
  • Santa Fe, NM
  • NPI 1043502388
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745020800000",
    "number": "1699882449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6623",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875026623",
            "telephone_number": "505-795-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 LUISA ST STE 5A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054091",
            "telephone_number": "505-795-6868",
            "fax_number": "505-926-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSO",
        "first_name": "ANIKA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-06699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61424374",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Todd Kelly, M.A. CCC-SLP
• Stephanie Kelly, LMSW
• Beulah Kellywood, COTA/L
• Kelseaker LTD (Medicap Pharmacy)
• Lori Kelsey, ACUPUNCTURE
• Cynthia Kemp, M.ED.
• Kelsi Kendall
• Kara R Kennedy, BMS
• Valerie Elizabeth Kennedy, LMT
• Richard D Kenney, MD

• 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 Apr 19, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.