Individual provider Active NPI

Chloe H Reichelt, PMSW

  • Social Worker
  • Santa Fe, NM
National Provider Identifier
1164084638
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
X-11060 Issued in NM
Practice address
4001 Office Court Dr Ste 603
Santa Fe, NM 87507-4905
Phone
(505) 310-4764
NPI assigned
Jul 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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 X-11060 NM Primary

Addresses

Primary practice location

4001 Office Court Dr Ste 603
Santa Fe, NM 87507-4905

Mailing address

4001 Office Court Dr Ste 603
Santa Fe, NM 87507-4905
Phone (505) 310-4764

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
X-11060NMMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1164084638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 OFFICE COURT DR STE 603",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074905",
            "telephone_number": "505-310-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 OFFICE COURT DR STE 603",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074905",
            "telephone_number": "505-310-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHELT",
        "first_name": "CHLOE",
        "middle_name": "H",
        "credential": "PMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "X-11060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.