Chavonne McClay

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-09259 Issued in NM

Practice address

7520 Montgomery Blvd NE BLDG E15
Albuquerque, NM 87109-1586

Phone

(505) 226-6380

Fax

(505) 214-5852

NPI assigned

Mar 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Chavonne Long Former name

Medicare fee-for-service enrollment

Enrolled in NM

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Unabridged Counseling and Coaching, LLCGroup PAC ID 6709145816, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unabridged Counseling and Coaching, LLC

  dba Whole Self Counseling

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1942713151
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1245505205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE BLDG E15",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091586",
            "telephone_number": "505-226-6380",
            "fax_number": "505-214-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE BLDG E15",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091586",
            "telephone_number": "505-226-6380",
            "fax_number": "505-214-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAY",
        "first_name": "CHAVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-09",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017810",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAVONNE",
            "last_name": "LONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Molly Elizabeth McClain, M.D.
• Dan Evan McClanahan, P.T.
• Linda Marie McClanahan, PT
• Maryanne Kathleen McClanahan, LPN
• Richard McClave, DMD
• Jill D McCleary, LMT
• Reagan N McClellan
• Abby Jane McClelland
• Carmen McClelland
• Katherine McClelland, BCBA

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.