Berta Chavez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C014558 Issued in NC

Practice address

200 Valencia Dr Ste 109
Jacksonville, NC 28546-6312

Phone

(910) 330-7559

Fax

(910) 996-0777

NPI assigned

Oct 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Strive to Thrive Counseling PLLC

  • Clinical Social Worker
  • Jacksonville, NC
  • NPI 1780435651
  NPD Authorized official

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1144861741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 SILVER HILLS DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285468749",
            "telephone_number": "910-265-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VALENCIA DR STE 109",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466312",
            "telephone_number": "910-330-7559",
            "fax_number": "910-996-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "BERTA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genette Chappell
• Charles a Deigert DDS
• Charles R.Martin,M.D.P.a.
• Krystina Charlesworth
• Abigail Ruth Chavez
• Kyra Bella Chavira, RBT
• Amanda Chavis-Legerton, MAED, LPC
• Karen Ann Chavis, FNP-C
• George Chekan Jr., MD
• Chemical Dependence Training Evalua

• Clinical Social Worker in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.