Individual provider Active NPI

Anna Vigil, LCSW

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1790203479
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C12017 Issued in NM
Practice address
1510 S Solano Dr Ste B
Las Cruces, NM 88001-4287
Phone
(575) 636-7117
NPI assigned
Sep 1, 2017
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M10080 NM
Clinical Social Worker 1041C0700X C12017 NM Primary

Addresses

Primary practice location

1510 S Solano Dr Ste B
Las Cruces, NM 88001-4287

Mailing address

111 Cadena St
Mesquite, NM 88048-9348
Phone (575) 636-7117

Other identifiers 1

IdentifierTypeStateIssuer
03775046MedicaidNM

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
I20220427000510 NM Practitioner - Clinical Social Worker 9032506779 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M10080NMMDSocial Worker
C12017NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Flame Wellness, LLC Clinical CurrentSince Jul 22, 2024 Accepting new patients
Crossroads Mental Health Services CurrentSince Oct 8, 2023 Accepting new patients

Locations

1510 S Solano Dr
Ste B
Las Cruces, NM 88001
Phone (575) 636-7117

225 E Idaho Ave
Ste 3
Las Cruces, NM 88005
Phone (575) 571-4390

525 S Melendres St
Las Cruces, NM 88005
Phone (575) 526-3437

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": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1790203479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CADENA ST",
            "city": "MESQUITE",
            "state": "NM",
            "postal_code": "880489348",
            "telephone_number": "575-636-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S SOLANO DR STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880014287",
            "telephone_number": "575-636-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGIL",
        "first_name": "ANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M10080",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C12017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03775046",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.