Deborah L Chavez, LMSW

Individual provider Active NPI Clinical Social Worker · Portales, NM

NPI 1134814056 · NPPES record last updated Apr 6, 2023

Key facts

NPI
1134814056
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
M-10846 (NM)
Practice address
321 S Avenue C
Portales, NM 88130-6253
Phone
(575) 760-0754
NPI assigned
Apr 6, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
M-10846NMMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X M-10846 NM Yes

Addresses

Primary practice location

321 S Avenue C
Portales, NM 88130-6253

Mailing address

1009 Rosewood Dr
Clovis, NM 88101-9347
Phone (575) 693-2453

Other providers in Portales, NM

All providers in Portales, NM · Clinical Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.