Jill Anne Fernandez, LCSW
Individual provider Active NPI Clinical Social Worker · Raton, NM
NPI 1922299460 · NPPES record last updated May 1, 2026
Key facts
- NPI
- 1922299460
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C-08359 (NM)
- Practice address
- 101 N 2ND St
Raton, NM 87740-3803 - Phone
- (575) 445-7090
- NPI assigned
- Aug 8, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-08359 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Plains Regional Education Coop | Past | Accepting new patients | |
| Sangre de Cristo Community Health Partnership | Mental Health | Past | Accepting new patients |
| High Plains Regional Educational Coop | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-08359 | NM | Yes |
Addresses
Primary practice location
101 N 2ND St
Raton, NM 87740-3803
Mailing address
2632 Aguilar Dr
Trinidad, CO 81082-3937
Phone (719) 859-0347
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1041C0700X | Medicaid | NM |
Other providers in Raton, NM
- Dashina Enjady
- Shantell Layce Esquivel
- David W Fairbanks
- Family Practice Associates of Raton Inc
- Rhonda L Fanelli
- Leroy Fernandez
- Robert J Forbeck
- Amy Charlene Ford
- Dwayne Garcia
- Jimmy Garcia
All providers in Raton, NM · Clinical Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.