Active NPI
Chad Reily Metz, LMSW
- Clinical Social Worker
- Mesa, AZ
National Provider Identifier
1184031452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21798
- 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
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 | 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 21798 | AZ | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.