Provider Demographics
NPI:1164397832
Name:CHAPPELL, GLORIA ELIZABETH (LMSW)
Entity type:Individual
Prefix:
First Name:GLORIA
Middle Name:ELIZABETH
Last Name:CHAPPELL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:GLORIA
Other - Middle Name:ELIZABETH
Other - Last Name:ATKINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2027 TRUST DR
Mailing Address - Street 2:
Mailing Address - City:CRANDALL
Mailing Address - State:TX
Mailing Address - Zip Code:75114-2862
Mailing Address - Country:US
Mailing Address - Phone:469-860-6416
Mailing Address - Fax:
Practice Address - Street 1:205 E US HIGHWAY 80
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-8604
Practice Address - Country:US
Practice Address - Phone:469-860-6416
Practice Address - Fax:945-468-7343
Is Sole Proprietor?:No
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113536104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker