Provider Demographics
NPI:1457389165
Name:CHAPIN, KATHLEEN A (LCSW)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:A
Last Name:CHAPIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:A
Other - Last Name:DINGMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3550 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-8626
Mailing Address - Country:US
Mailing Address - Phone:717-851-6340
Mailing Address - Fax:717-861-6349
Practice Address - Street 1:195 STOCK ST
Practice Address - Street 2:SUITE 306
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-2266
Practice Address - Country:US
Practice Address - Phone:717-632-8926
Practice Address - Fax:717-632-2787
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0144521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA03192701OtherCAPITAL BLUE CROSS
PA1483487OtherPA BLUE SHIELD
PA2056923OtherCIGNA BEHAV HEALTH
PA338259OtherVALUE OPTIONS
PA244657OtherMAMSI
PA61627201OtherCAREFIRST BC/BS MARYLAND
PA056957Medicare ID - Type Unspecified
PA1483487OtherPA BLUE SHIELD