Katherine Jennifer Chavez, CSW

Individual provider Active NPI Case Manager/Care Coordinator · Socorro, NM

NPI 1689336240 · NPPES record last updated Oct 27, 2021

Key facts

NPI
1689336240
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1200 Highway 60
Socorro, NM 87801-3914
Phone
(575) 835-2444
Fax
(575) 838-0150
NPI assigned
Oct 12, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1200 Highway 60
Socorro, NM 87801-3914

Mailing address

1200 Highway 60
Socorro, NM 87801-3914
Phone (575) 835-2444

Other providers in Socorro, NM

All providers in Socorro, NM · Case Manager/Care Coordinator in New Mexico

Sources for this page

Verify at the official NPI Registry.