Bernice Faye Chavez, LMSW
Individual provider Active NPI Clinical Social Worker · Algodones, NM
NPI 1952001224 · NPPES record last updated Mar 6, 2023
Key facts
- NPI
- 1952001224
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SWB-2022-0053 (NM)
- Practice address
- 51 Bosque Rd
Algodones, NM 87001-8014 - Phone
- (505) 506-0009
- NPI assigned
- Mar 6, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SWB-2022-0053 | NM | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SWB-2022-0053 | NM | Yes |
Addresses
Primary practice location
51 Bosque Rd
Algodones, NM 87001-8014
Mailing address
306 Village Lane
San Felipe Pueblo, NM 87001
Phone (505) 504-8840
Other providers in Algodones, NM
- Audrina Melissa Abeyta
- Kaitlyn Therese Archibeque
- Sierra Chavez
- Sydney Cassandra Chavez
- Jodi L. D'Avignon
- Cristin Deuble
- Rachel Dubois
All providers in Algodones, NM · Clinical Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.