Provider Demographics
NPI:1811276264
Name:CHAPMAN, DANIELA (LCSW)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:CHAPMAN
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 1:33 JEROME AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN ROCK
Mailing Address - State:NJ
Mailing Address - Zip Code:07452-2410
Mailing Address - Country:US
Mailing Address - Phone:201-220-5798
Mailing Address - Fax:
Practice Address - Street 1:194 GREENWOOD AVE
Practice Address - Street 2:MIDLAND PARK
Practice Address - City:MIDLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07432-1422
Practice Address - Country:US
Practice Address - Phone:201-220-5798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-16
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC002902001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ00103228OtherCERTIFIED SCHOOL SOCIAL WORKER
NJ44SC00290200OtherSOCIAL WORK LICENSE