Leann M Chavez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-09816 Issued in NM

Practice address

4202 W McGaffey St
Roswell, NM 88203-9384

Phone

(575) 623-6749

Fax

(575) 623-1322

NPI assigned

Jun 15, 2017

Last updated

Jun 15, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• The Peak at Santa Teresa, Inc.

  dba The Peak Treatment Foster Care

  • Foster Care Agency
  • Roswell, NM
  • NPI 1740315514
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1790215325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882020751",
            "telephone_number": "575-623-6749",
            "fax_number": "575-623-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 W MCGAFFEY ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882039384",
            "telephone_number": "575-623-6749",
            "fax_number": "575-623-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "LEANN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Gavina Chavez, PMHNP-BC
• Angela Chavez
• Camille Chavez, LCSW
• Cari Ann Chavez
• Jennifer Chavez
• Rudy P Chavez, D.TH.CC, LADAC, LMHC
• Victoriana Chavez
• Adelina Teresa Chavira
• Daniel Chavira
• Erika Chavira

• Clinical Social Worker in Roswell, NM
• Providers in Roswell, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.