Provider Demographics
NPI:1023382462
Name:LUPINETTI-CHADWICK, PAULA (LCSW)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:LUPINETTI-CHADWICK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2809 BACK COVENTRY RD
Mailing Address - Street 2:
Mailing Address - City:IRASBURG
Mailing Address - State:VT
Mailing Address - Zip Code:05845-9799
Mailing Address - Country:US
Mailing Address - Phone:609-346-5953
Mailing Address - Fax:
Practice Address - Street 1:2809 BACK COVENTRY RD
Practice Address - Street 2:
Practice Address - City:IRASBURG
Practice Address - State:VT
Practice Address - Zip Code:05845-9799
Practice Address - Country:US
Practice Address - Phone:609-346-5953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-02
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC0548899001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical