Camille Chavez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-11108 Issued in NM

Practice address

300 N Kentucky Ave
Roswell, NM 88201-4636

Phone

(575) 627-2622

NPI assigned

Mar 19, 2019

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

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Foundation Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roswell, NM
  • NPI 1033051198
  Medicare reassignment NPD (past) Authorized official

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1801355672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N WYOMING AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882012173",
            "telephone_number": "575-777-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N KENTUCKY AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014636",
            "telephone_number": "575-627-2622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 N Wyoming Ave",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882012173",
            "country_code": "US",
            "telephone_number": "575-777-4556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "CAMILLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-11108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75439735",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chaves County Joy Centers, Inc.
• Chaves County New Mexico Hospital Company LLC
• Chaves Emergency Group LLC
• Ana Gavina Chavez, PMHNP-BC
• Angela Chavez
• Cari Ann Chavez
• Jennifer Chavez
• Leann M Chavez, LCSW
• Rudy P Chavez, D.TH.CC, LADAC, LMHC
• Victoriana Chavez

• 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 3, 2026; 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.

Verify at the official NPI Registry.