NPIMap

Individual provider Active NPI

Alfred Chavez Jr., LBSW

  • School Social Worker
  • Bayard, NM
National Provider Identifier
1659624211
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
050566935 Issued in NM
Practice address
900 Central Ave
Bayard, NM 88023
Phone
(575) 537-4000
NPI assigned
Oct 19, 2012
Sex
Male
Sole proprietor
Yes

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.

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
050566935NMMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cobre Consolidated Schools Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 050566935 NM Primary

Addresses

NPPES NPI Registry

Primary practice location

900 Central Ave
Bayard, NM 88023

Mailing address

PO Box 1000
Bayard, NM 88023-1000
Phone (575) 537-4000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 19, 2012.

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1659624211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "BAYARD",
            "state": "NM",
            "postal_code": "880231000",
            "telephone_number": "575-537-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CENTRAL AVE",
            "city": "BAYARD",
            "state": "NM",
            "postal_code": "88023",
            "telephone_number": "575-537-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "ALFRED",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LBSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "050566935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayard, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.