Individual provider Active NPI

Michelle Chavez

  • Clinical Social Worker
  • Rio Rancho, NM
National Provider Identifier
1255717112
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
730 Garnet Dr NE
Rio Rancho, NM 87124-4607
Phone
(505) 417-7452
NPI assigned
Aug 3, 2015
Last updated
Feb 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 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 Primary

Addresses

Primary practice location

730 Garnet Dr NE
Rio Rancho, NM 87124-4607

Mailing address

730 Garnet Dr NE
Rio Rancho, NM 87124-4607
Phone (505) 417-7452

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230403002860 NM Practitioner - Clinical Social Worker 3870968902 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Works Counseling LLC CurrentSince Feb 13, 2023 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jul 2, 2024 Accepting new patients
Bloom Haven Behavioral Health LLC CurrentSince Jan 31, 2025 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jul 2, 2024 Accepting new patients
Prickly Pear Therapy, LLC CurrentSince Sep 12, 2024 Accepting new patients

Locations

7441 Bartlett St NE
Ste 1C
Albuquerque, NM 87109
Phone (505) 585-1263

8100 Wyoming Blvd NE
Ste M4
Albuquerque, NM 87113
Phone (505) 301-1105

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

221 N Auburn Ave
Farmington, NM 87401
Phone (505) 600-6631

1380 Rio Rancho Blvd SE
Rio Rancho, NM 87124
Phone (505) 916-4729

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1255717112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 GARNET DR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244607",
            "telephone_number": "505-417-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 GARNET DR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244607",
            "telephone_number": "505-417-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.