Provider Demographics
NPI:1114947280
Name:CHAPLIN, WILLIAM F JR (LICSW)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:F
Last Name:CHAPLIN
Suffix:JR
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 MAIN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MEDWAY
Mailing Address - State:MA
Mailing Address - Zip Code:02053-1828
Mailing Address - Country:US
Mailing Address - Phone:508-330-0323
Mailing Address - Fax:
Practice Address - Street 1:89 MAIN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MEDWAY
Practice Address - State:MA
Practice Address - Zip Code:02053-1828
Practice Address - Country:US
Practice Address - Phone:508-330-0323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1101411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP08184OtherBCBSMA
MAP2236Medicare UPIN