Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chuck Ivy, LCSW

Individual provider Clinical Social Worker · NPI 1134447386

Chuck Ivy, LCSW is a Clinical Social Worker in Roswell, New Mexico. Qualified in 2011, 15 years ago. Practices with Azurite Services PC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
15
Licensed in
NM
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1407 Highland Rd
Roswell, NM 88201-2146
Phone: (575) 208-2918
Fax: (575) 208-2918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C-10013 (NM)

Record details

NPI number1134447386
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 12, 2010
Last updated in NPPESMarch 5, 2021
Certification dateMarch 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Azurite Services Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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