Individual provider Active NPI

Jessica Chavez, LCSW

  • Social Worker
  • El Paso, TX
National Provider Identifier
1851129688
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
106494 Issued in TX
Practice address
11163 La Quinta PL Ste B100
El Paso, TX 79936-5258
Phone
(915) 201-2606
NPI assigned
Jul 23, 2024
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 106494 TX Primary

Addresses

Primary practice location

11163 La Quinta PL Ste B100
El Paso, TX 79936-5258

Mailing address

8125 Lomita Dr
El Paso, TX 79907-3622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20250602002134 TX Practitioner - Clinical Social Worker 0840709861 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106494TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmind, PLLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

11163 La Quinta Pl
Ste B100
El Paso, TX 79936
Phone (915) 201-2606

600 Sunland Park Dr
Ste 4-400
El Paso, TX 79912
Phone (915) 201-2606

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1851129688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8125 LOMITA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799073622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11163 LA QUINTA PL STE B100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365258",
            "telephone_number": "915-201-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "106494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.