Active NPI
Maria I Gonzales, LMSW
- Clinical Social Worker
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-09965
- Practice address
- 575 S Alameda Blvd
Las Cruces, NM 88005 - Phone
- (575) 528-6400
- Fax
- (575) 521-7199
- NPI assigned
- Jul 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | M-07789 | NM | |
| Clinical Social Worker | 1041C0700X | X-09939 | NM | |
| Clinical Social Worker | 1041C0700X | C-09965 | NM | Primary |
Addresses
Primary practice location
575 S Alameda Blvd
Las Cruces, NM 88005
Mailing address
385 Calle de Alegra
BLDG. a
Las Cruces, NM 88005-3423
Phone (575) 526-1105
Other practice location 1
100 Airport Rd
Santa Teresa, NM 88008-9703
Phone (575) 874-9338
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02488027 | Medicaid | NM | |
| 377434YRND | Other | NM | MEDICARE |
Other names 1
- Maria I Chavez
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 W Las Cruces Ave
Las Cruces, NM 88005-1804
Phone (575) 249-0390
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-09965 | NM | MD | Clinical Social Worker |
| X-09939 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinica de Familia, Incorporated | Current | Accepting new patients | |
| Transcending Counseling, LLC | Clinical | Current | Accepting new patients |
| La Clinica de Familia, Incorporated | Current | Accepting new patients |
Locations
826 Anthony Dr
Anthony, NM 88021
Phone (575) 201-5135
385 Calle de Alegra
Bldg A
Las Cruces, NM 88005
Phone 57552611052444
210 W Las Cruces Ave
Ste A
Las Cruces, NM 88005
575 S Alameda Blvd
Las Cruces, NM 88005
Phone (575) 528-6400
210 W Las Cruces Ave
Las Cruces, NM 88005
Phone (575) 249-0390
100 Airport Rd
Santa Teresa, NM 88008
Phone (575) 874-9338
Interoperability endpoints
- maria.gonzales@lcdfnm.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Las Cruces, NM
- NPI 1538922646
-
dba La Clinica De Familia Central Medical
- Federally Qualified Health Center (FQHC)
- Las Cruces, NM
- NPI 1528424397
-
dba Mayfield High School Base
- Federally Qualified Health Center (FQHC)
- Las Cruces, NM
- NPI 1134917040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1659788339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 CALLE DE ALEGRA",
"address_2": "BLDG. A",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053423",
"telephone_number": "575-526-1105",
"fax_number": "575-524-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 S ALAMEDA BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88005",
"telephone_number": "575-528-6400",
"fax_number": "575-521-7199"
}
],
"practiceLocations": [
{
"address_1": "100 Airport Rd",
"address_purpose": "LOCATION",
"city": "Santa Teresa",
"state": "NM",
"postal_code": "880089703",
"country_code": "US",
"telephone_number": "575-874-9338",
"fax_number": "575-525-4832",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALES",
"first_name": "MARIA",
"middle_name": "I",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-07789",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "X-09939",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-09965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02488027",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "377434YRND",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "CHAVEZ",
"middle_name": "I",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.