Provider Demographics
NPI:1356686067
Name:CHAPMAN, REIA (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:REIA
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 SUNSET RD UNIT 681556
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-0468
Mailing Address - Country:US
Mailing Address - Phone:980-495-6305
Mailing Address - Fax:980-495-6535
Practice Address - Street 1:12733 ALVIN WOODS DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28214-6424
Practice Address - Country:US
Practice Address - Phone:980-495-6305
Practice Address - Fax:980-495-6535
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC109801041C0700X
NCC0094711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1356686067Medicaid