| Chuck Ivy, LCSW | |
|
1407 Highland Rd, Roswell, NM 88201-2146 | |
| (575) 208-2918 | |
| (575) 208-2918 |
| Full Name | Chuck Ivy |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 14 Years |
| Location | 1407 Highland Rd, Roswell, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134447386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C-10013 (New Mexico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Azurite Services Pc | 0648552133 | 7 |
| Entity Name | Azurite Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932650041 PECOS PAC ID: 0648552133 Enrollment ID: O20170118000036 |
| Entity Name | Ivy League Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982286308 PECOS PAC ID: 7618386558 Enrollment ID: O20210506000705 |
| Mailing Address | Practice Location Address |
|---|---|
| Chuck Ivy, LCSW 1407 Highland Rd, Roswell, NM 88201-2146 Ph: (575) 208-2918 | Chuck Ivy, LCSW 1407 Highland Rd, Roswell, NM 88201-2146 Ph: (575) 208-2918 |
Carla Cortez, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 E Mescalero Rd, Roswell, NM 88201 Phone: 575-755-2272 Fax: 575-622-3325 | |
Kila Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 N Main St Ste 310, Roswell, NM 88201 Phone: 575-420-8052 | |
Cari Ann Chavez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 45 N Sky Loop, Roswell, NM 88201 Phone: 575-208-8323 | |
Ms. Alexandra Hancock, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 72 Gail Harris St, Roswell, NM 88203 Phone: 575-347-3400 Fax: 575-347-3435 | |
Deborah Leone Geisler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 E Mescalero Rd, Roswell, NM 88201 Phone: 575-755-2272 Fax: 575-622-3325 | |
Natasha Sing, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 W 2nd St Ste 2, Roswell, NM 88201 Phone: 575-755-5555 Fax: 575-755-5556 |