Individual
CHASTY HOPE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2100
(505) 994-7000
Mailing address
15 SAN MATEO WAY N, SANTA FE, NM 87508-4625
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2024-1052
NM
Other
Enumeration date
09/07/2023
Last updated
11/18/2025
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