Individual provider Active NPI

Anika Carrasco Trujillo, LMSW

  • Social Worker
  • Santa Fe, NM
National Provider Identifier
1831313402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M05794 Issued in NM
Practice address
7147 Sereno Loop
Santa Fe, NM 87507-6605
Phone
(505) 473-0749
Fax
(505) 474-9187
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M05794 NM Primary

Addresses

Primary practice location

7147 Sereno Loop
Santa Fe, NM 87507-6605

Mailing address

7147 Sereno Loop
Santa Fe, NM 87507

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
I20111026000968 NM Practitioner - Clinical Social Worker 4284807801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Santa Fe Psychology, LLCGroup PAC ID 0547563058, 7 clinicians

Practice addresses (Care Compare)

2204 Brothers Rd
Suite B
Santa Fe, NM 87505-6975
Phone (505) 795-5566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M05794NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Fe Psychology, LLC CurrentSince Nov 3, 2024 Accepting new patients
Claire Saks Past Accepting new patients

Locations

2204 Brothers Rd
Ste B
Santa Fe, NM 87505
Phone (505) 699-3681

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831313402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7147 SERENO LOOP",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7147 SERENO LOOP",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875076605",
            "telephone_number": "505-473-0749",
            "fax_number": "505-474-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO TRUJILLO",
        "first_name": "ANIKA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M05794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.