CHANTELLE DEITRICH
NPI 1104544386
Case Manager/Care Coordinator in Taos, NM

Q: What is Chantelle Deitrich's NPI number?

The NPI number for Chantelle Deitrich is 1104544386. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Q: What is Chantelle Deitrich's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Active since August 15, 2022

105 BERTHA RD STE B, TAOS, NM 87571(575) 758-4297 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2023, Aug 15, 2022 (2 updates tracked since 2022).

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About Chantelle Deitrich NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANTELLE DEITRICH (NPI 1104544386) is an individual case manager/care coordinator provider in Taos, New Mexico and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1104544386

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameCHANTELLE DEITRICH

Location Address105 BERTHA RD STE BTaos, NM 87571-7148

Mailing Address422 Camino De La MercedTaos, NM 87571-5285

Phone(575) 758-4297

Sole ProprietorNo

Enumeration DateAugust 15, 2022

Last NPPES UpdateFebruary 13, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2023

✔ NPI 1104544386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedPeer SpecialistTaxonomy 175T00000X

105 BERTHA RD STE B, Taos, NM 87571

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA DIAZ LMHC

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