Provider Demographics
NPI:1982204277
Name:SCHAPPELL, MARY F (LCSW)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:F
Last Name:SCHAPPELL
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 1:2707 TREYBURNE LN SE
Mailing Address - Street 2:
Mailing Address - City:HAMPTON COVE
Mailing Address - State:AL
Mailing Address - Zip Code:35763-9325
Mailing Address - Country:US
Mailing Address - Phone:256-698-7490
Mailing Address - Fax:
Practice Address - Street 1:2707 TREYBURNE LN SE
Practice Address - Street 2:
Practice Address - City:HAMPTON COVE
Practice Address - State:AL
Practice Address - Zip Code:35763-9325
Practice Address - Country:US
Practice Address - Phone:256-698-7490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4322C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical