Provider Demographics
NPI:1881796365
Name:D'ANGELO, CAROL CHAPMAN (LMHC, CASAC)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:CHAPMAN
Last Name:D'ANGELO
Suffix:
Gender:F
Credentials:LMHC, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 CREEK VIEW PATH
Mailing Address - Street 2:
Mailing Address - City:KIRKVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13082-9439
Mailing Address - Country:US
Mailing Address - Phone:315-656-9031
Mailing Address - Fax:315-656-8600
Practice Address - Street 1:112 CREEK VIEW PATH
Practice Address - Street 2:
Practice Address - City:KIRKVILLE
Practice Address - State:NY
Practice Address - Zip Code:13082-9439
Practice Address - Country:US
Practice Address - Phone:315-656-8600
Practice Address - Fax:315-656-8600
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000101101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health