Provider Demographics
NPI:1316562853
Name:CHAVEZ, AMBER YAMEL (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:AMBER
Middle Name:YAMEL
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 71273
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79917-1273
Mailing Address - Country:US
Mailing Address - Phone:915-216-3287
Mailing Address - Fax:
Practice Address - Street 1:796 LINCOLNSHIRE ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79928-2220
Practice Address - Country:US
Practice Address - Phone:915-216-3287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX624511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical