Active NPI
Marc Charles Chevalier, LCSW
- Clinical Social Worker
- Horseshoe Bay, TX
National Provider Identifier
1124037080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05043
- Practice address
- 201 Bay West Blvd.
Horseshoe Bay, TX 78657 - Phone
- (830) 598-5968
- Fax
- (830) 596-2187
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 05043 | TX | Primary |
Addresses
Primary practice location
201 Bay West Blvd.
Horseshoe Bay, TX 78657
Mailing address
123 Commerce St
Suite C
Kerrville, TX 78028-4950
Phone (830) 792-4477
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05043 | TX | MD | Clinical Social Worker |
| 5043 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1124037080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 COMMERCE ST",
"address_2": "SUITE C",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780284950",
"telephone_number": "830-792-4477",
"fax_number": "830-792-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 BAY WEST BLVD.",
"city": "HORSESHOE BAY",
"state": "TX",
"postal_code": "78657",
"telephone_number": "830-598-5968",
"fax_number": "830-596-2187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEVALIER",
"first_name": "MARC",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "05043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Horseshoe Bay, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.