Provider Demographics
NPI:1720457039
Name:CHAVEZ, DELILA (PLMSW)
Entity Type:Individual
Prefix:
First Name:DELILA
Middle Name:
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:PLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 LASER RD NE
Mailing Address - Street 2:RIO RANCHO PUBLIC SCHOOLS
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-4517
Mailing Address - Country:US
Mailing Address - Phone:505-896-0667
Mailing Address - Fax:
Practice Address - Street 1:7001 CHAYOTE RD NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-6211
Practice Address - Country:US
Practice Address - Phone:505-771-2366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-16
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041S0200X
NMC-104021041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool