Provider Demographics
NPI:1346821543
Name:CHAPLIN, LINDA (LCSW, MSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:CHAPLIN
Suffix:
Gender:F
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:FORSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3770 N 97TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-2629
Mailing Address - Country:US
Mailing Address - Phone:262-951-8867
Mailing Address - Fax:
Practice Address - Street 1:620 S 76TH ST STE 240
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53214-1599
Practice Address - Country:US
Practice Address - Phone:414-292-4242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11159-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1346821543Medicaid