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CHUCK IVY LCSW
NPI 1134447386
Social Worker - Clinical in Roswell, NM

Active since May 12, 2010PECOS EnrolledAccepts Medicare Assignment
1407 HIGHLAND RD, ROSWELL, NM 88201(575) 208-2918(575) 208-2918 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 5, 2021, Feb 15, 2021, Feb 9, 2021 and 1 more (4 updates tracked since 2017).

About Chuck Ivy Lcsw NPPES

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

CHUCK IVY LCSW (NPI 1134447386) is an individual clinical provider in Roswell, New Mexico, licensed in New Mexico (C-10013) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1134447386
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCHUCK IVYCredential: LCSW
Location Address1407 HIGHLAND RDRoswell, NM 88201-2146
Mailing Address1407 Highland RdRoswell, NM 88201-2146 · (575) 208-2918 · Fax (575) 208-2918
Phone(575) 208-2918
Fax(575) 208-2918
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMay 12, 2010
Last NPPES UpdateMarch 5, 20214 updates tracked since enumeration
NPPES CertifiedMarch 5, 2021
✔ NPI 1134447386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NM · C-10013
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1407 HIGHLAND RD, Roswell, NM 88201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chuck Ivy Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244591477
PECOS Enrollment IDI20180302000325
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Chuck Ivy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Azurite Services PC
0.8 mi
Psychiatric/Mental Health
613 W 2ND ST STE 1
Roswell, NM 88201
  • Reassigned Medicare billing, New Mexico enrollment
  • 8 clinicians in this Medicare group
NPI 1932650041 (575) 755-5555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
172 services21 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.26 – $166.80
Typical copayment $0.00 (range $13.56 – $41.70)
Most-billed visit code NA
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

IVY LEAGUE COUNSELING LLC
Social Worker
1407 HIGHLAND RD
ROSWELL, NM 88201
Chaves County (575) 840-9653

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chuck Ivy's NPI number?

The NPI number for Chuck Ivy is 1134447386. It was assigned to this individual provider in the NPPES registry on May 12, 2010.

Where is Chuck Ivy located?

Chuck Ivy practices at 1407 Highland Rd, Roswell, NM 88201. The listed phone number is (575) 208-2918.

What is Chuck Ivy's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Chuck Ivy enrolled in Medicare?

Yes. Chuck Ivy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Chuck Ivy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chuck Ivy reassigns Medicare benefits to Azurite Services PC (Roswell, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chuck Ivy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chuck Ivy was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.