Provider Demographics
NPI:1467514133
Name:CHAPMAN, MARY E (MSW, LICSW)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:E
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 DAVOL ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-1023
Mailing Address - Country:US
Mailing Address - Phone:774-254-0376
Mailing Address - Fax:888-613-3440
Practice Address - Street 1:800 DAVOL ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-1023
Practice Address - Country:US
Practice Address - Phone:774-254-0376
Practice Address - Fax:888-613-3440
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1156861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical