Provider Demographics
NPI:1801407762
Name:CHAPMAN, JENNIFER N (LCSW-A)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:N
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 PINEGATE CIR APT 12
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2246
Mailing Address - Country:US
Mailing Address - Phone:336-339-7193
Mailing Address - Fax:
Practice Address - Street 1:102 PINEGATE CIR APT 12
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2246
Practice Address - Country:US
Practice Address - Phone:336-339-7193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0149011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical