Provider Demographics
NPI:1598173841
Name:CHAPMON, VALARIE ANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:VALARIE
Middle Name:ANNE
Last Name:CHAPMON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:VALARIE
Other - Middle Name:ANNE
Other - Last Name:LOPARDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:5502 MARVIN SHIELDS BLVD
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39501
Mailing Address - Country:US
Mailing Address - Phone:228-822-5710
Mailing Address - Fax:
Practice Address - Street 1:5502 MARVIN SHIELDS BLVD
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39501
Practice Address - Country:US
Practice Address - Phone:228-822-5710
Practice Address - Fax:228-871-3362
Is Sole Proprietor?:No
Enumeration Date:2014-07-31
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW113081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
59098OtherBOARD CERTIFIED DIPLOMATE
FLSW11308OtherFLORIDA BOARD OF CLINICAL SOCIAL WORK, MARRIAGE & FAMILY THERAPY & MENTAL HEALTH