Provider Demographics
NPI:1629549035
Name:CHAPMAN, ANDREA E (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:E
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 SHERBROOKE PKWY
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-3150
Mailing Address - Country:US
Mailing Address - Phone:862-286-0788
Mailing Address - Fax:
Practice Address - Street 1:513 W MOUNT PLEASANT AVE STE 210
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-1721
Practice Address - Country:US
Practice Address - Phone:862-286-0788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC057299001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical