Healthcare Provider Details

I. General information

NPI: 1417802117
Provider Name (Legal Business Name): BARBARA ENID CHAPMAN CASAC, COUNSELOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3411 VERNON BLVD
ASTORIA NY
11106-5121
US

IV. Provider business mailing address

3411 VERNON BLVD
ASTORIA NY
11106-5121
US

V. Phone/Fax

Practice location:
  • Phone: 646-505-2003
  • Fax: 631-406-5554
Mailing address:
  • Phone: 646-505-2003
  • Fax: 631-406-5554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number49042
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: