Individual provider Active NPI

Beatrice Toby Chavez-James, LISW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1962563478
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0231 Issued in NM
Practice address
1700 Cerrillos Rd
Behavioral Health Program
Santa Fe, NM 87505-3554
Phone
(505) 946-9477
Fax
(505) 983-6243
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-0231 NM Primary

Addresses

Primary practice location

1700 Cerrillos Rd
Behavioral Health Program
Santa Fe, NM 87505-3554

Mailing address

1700 Cerrillos Rd
Behavioral Health Program
Santa Fe, NM 87505-3554
Phone (505) 946-9477

Other identifiers 1

IdentifierTypeStateIssuer
H1232MedicaidNM

Other names 1

  • Toby Chavez Other name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0231NMMDClinical Social Worker
231NMMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cochiti Health Clinic Past Accepting new patients
San Felipe Health Clinic Past Accepting new patients
Santo Domingo Health Clinic Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962563478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CERRILLOS RD",
            "address_2": "BEHAVIORAL HEALTH PROGRAM",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053554",
            "telephone_number": "505-946-9477",
            "fax_number": "505-983-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CERRILLOS RD",
            "address_2": "BEHAVIORAL HEALTH PROGRAM",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053554",
            "telephone_number": "505-946-9477",
            "fax_number": "505-983-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ-JAMES",
        "first_name": "BEATRICE",
        "middle_name": "TOBY",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-0231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H1232",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOBY",
            "last_name": "CHAVEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.