Individual provider Active NPI

Chad Reily Metz, LMSW

  • Clinical Social Worker
  • Mesa, AZ
National Provider Identifier
1184031452
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21798 Issued in AZ
Practice address
1148 W Baseline Rd
Mesa, AZ 85210-5971
Phone
(480) 749-8898
NPI assigned
Jul 17, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 21798 AZ Primary

Addresses

Primary practice location

1148 W Baseline Rd
Mesa, AZ 85210-5971

Mailing address

1257 W Dexter Way
San Tan Valley, AZ 85143-5448
Phone (480) 749-8898

Other practice location 1

1257 W Dexter Way
San Tan Valley, AZ 85143-5448
Phone (480) 749-8898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 8, 2024 through Feb 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21798AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1184031452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 W DEXTER WAY",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435448",
            "telephone_number": "480-749-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 W BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105971",
            "telephone_number": "480-749-8898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1257 W Dexter Way",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851435448",
            "country_code": "US",
            "telephone_number": "480-749-8898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METZ",
        "first_name": "CHAD",
        "middle_name": "REILY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-17",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "21798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.