Provider Demographics
NPI:1861836579
Name:CHAPMAN, NICOLE HARDEE (LMSW)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:HARDEE
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:LMSW
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 617
Mailing Address - Street 2:1120 TIMMONSVILLE HWY
Mailing Address - City:DARLINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29532
Mailing Address - Country:US
Mailing Address - Phone:843-393-8600
Mailing Address - Fax:843-393-6471
Practice Address - Street 1:1133 TIMMONSVILLE HWY
Practice Address - Street 2:
Practice Address - City:DARLINGTON
Practice Address - State:SC
Practice Address - Zip Code:29532
Practice Address - Country:US
Practice Address - Phone:843-393-8600
Practice Address - Fax:843-393-6471
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9775101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC9775OtherLICENSE NUMBER