Individual provider Active NPI

Melina Chavez

  • Clinical Social Worker
  • El Paso, TX
National Provider Identifier
1255116000
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
51080 Issued in TX
Practice address
6089 Vintage St
El Paso, TX 79932-2144
Phone
(915) 309-8166
NPI assigned
Aug 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 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 51080 TX Primary

Addresses

Primary practice location

6089 Vintage St
El Paso, TX 79932-2144

Mailing address

6089 Vintage St
El Paso, TX 79932-2144
Phone (915) 309-8166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20260325003726 TX Practitioner - Clinical Social Worker 4789169988 Reassigns benefits to 1 organization
I20260513002775 IN Practitioner - Clinical Social Worker 4789169988 Reassigns benefits to 1 organization
I20260619001497 AZ Practitioner - Clinical Social Worker 4789169988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Author Health Professionals, PCGroup PAC ID 7416368949, 93 clinicians

Practice addresses (Care Compare)

2425 E Camelback Rd
Suite 400
Phoenix, AZ 85016-4225
Phone (800) 423-4400

2700 Post Oak Blvd
Suite 2100
Houston, TX 77056-5797
Phone (800) 423-4400

801 Shelby St
Suite 201
Indianapolis, IN 46203-1163
Phone (800) 423-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51080TXMDPharmacist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1255116000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6089 VINTAGE ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799322144",
            "telephone_number": "915-309-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6089 VINTAGE ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799322144",
            "telephone_number": "915-309-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "MELINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "51080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.