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NPI Code Detail

MEDICARE: JEAN CHAPPELL LCSW-C

MEDICARE:   JEAN  CHAPPELL  LCSW-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker11188MD

General Provider Information

NPI Number : 1265592398
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN CHAPPELL LCSW-C
Provider Business Mailing Address
First Line : 9006 WOODYARD RD
Second Line :
City : CLINTON
State : MD
Zip : 20735-4206
Country : US
Telephone Number : 301-856-3636
Fax Number : 301-856-3633
Provider Business Practice Location Address
First Line : 9006 WOODYARD RD
Second Line :
City : CLINTON
State : MD
Zip : 20735-4206
Country : US
Telephone Number : 301-856-3636
Fax Number : 301-856-3633
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 06/11/2008

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Directions to “ JEAN CHAPPELL LCSW-C” Practice Location

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