Provider Demographics
NPI:1679662183
Name:CHAPMAN, DENNIS RAY (LCSW)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:RAY
Last Name:CHAPMAN
Suffix:
Gender:M
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:PO BOX 5035
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78683-5035
Mailing Address - Country:US
Mailing Address - Phone:512-925-0344
Mailing Address - Fax:
Practice Address - Street 1:1000 LEAH LN
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-7846
Practice Address - Country:US
Practice Address - Phone:512-925-0344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX124591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical