Individual provider Active NPI

Nathallie Lynnette Chavez, LCSWA

  • Clinical Social Worker
  • Kannapolis, NC
National Provider Identifier
1659097160
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C019164 Issued in NC
Practice address
300 Mooresville Rd
Kannapolis, NC 28081-0304
Phone
(704) 920-1199
Fax
(704) 445-7508
NPI assigned
Oct 17, 2022
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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 C019164 NC Primary

Addresses

Primary practice location

300 Mooresville Rd
Kannapolis, NC 28081-0304

Mailing address

300 Mooresville Rd
Kannapolis, NC 28081-0304
Phone (704) 920-1000

Other practice location 1

526 Cabarrus Ave W
Concord, NC 28027-6259
Phone (704) 920-1199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C019164NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Authority of Cabarrus County PastSince Oct 23, 2022 Accepting new patients
Public Health Authority of Cabarrus County PastSince Oct 23, 2022 Accepting new patients

Organizations & group practices 2

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": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1659097160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MOORESVILLE RD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280810304",
            "telephone_number": "704-920-1000",
            "fax_number": "704-934-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MOORESVILLE RD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280810304",
            "telephone_number": "704-920-1199",
            "fax_number": "704-445-7508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "526 Cabarrus Ave W",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280276259",
            "country_code": "US",
            "telephone_number": "704-920-1199",
            "fax_number": "704-445-7508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "NATHALLIE",
        "middle_name": "LYNNETTE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C019164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.