Individual provider · Type 1 NPI

Chantelle Deitrich

Community Health Worker · Taos, NM

NPI number 1104544386 Active

Practice location

105 Bertha Rd Ste B
Taos, NM 87571-7148

Call (575) 758-4297 Map

Mailing address

422 Camino De La Merced
Taos, NM 87571-5285

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker Primary 172V00000XNone listed
Peer Specialist 175T00000XNone listed

Community Health Worker: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(…

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About NPI 1104544386

Chantelle Deitrich's National Provider Identifier is 1104544386, issued on Aug 15, 2022. The primary taxonomy on file is Community Health Worker (172V00000X), and the practice location is in Taos, NM. The record was last updated on Oct 26, 2026.