Provider Demographics
NPI:1831344498
Name:CHAPMAN, ROSIE MAXINE (LMSW)
Entity type:Individual
Prefix:
First Name:ROSIE
Middle Name:MAXINE
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 1:57325 BEACONSFIELD RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48094-3012
Mailing Address - Country:US
Mailing Address - Phone:586-255-0471
Mailing Address - Fax:
Practice Address - Street 1:57325 BEACONSFIELD RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MI
Practice Address - Zip Code:48094-3012
Practice Address - Country:US
Practice Address - Phone:586-255-0471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010832261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical