Teresa Chavez, LCSW
Individual provider Active NPI Clinical Social Worker · Espanola, NM
NPI 1639243108 · NPPES record last updated Aug 11, 2026
Key facts
- NPI
- 1639243108
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- M-05632 (NM)
- Practice address
- 714 Calle Don Diego
Espanola, NM 87532-3414 - Phone
- (505) 753-2254
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-05632 | NM | MD | School Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | M-05632 | NM | Yes |
Addresses
Primary practice location
714 Calle Don Diego
Espanola, NM 87532-3414
Mailing address
714 Calle Don Diego
Espanola, NM 87532-3414
Phone (505) 753-2254
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85-6000289 | Medicaid | NM |
Other providers in Espanola, NM
- Rena Chavarria
- Edward Zeke Chavez
- Irene Marie Chavez
- Rebecca Chavez
- Stephanie Chavez
- Victoria D Chavez
- Cynthia Lena Chila
- Kathy Christianson
- William Clapp
- Allie Clark
All providers in Espanola, NM · Clinical Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.