MEDICARE: ELIZABETH CHAPKOVSKY

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
1	1041C0700X	Clinical Social Worker	LC50081035	DC

General Provider Information

NPI Number	:	1659965069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH CHAPKOVSKY

Provider Business Mailing Address
First Line	:	2331 15TH ST NW UNIT 308
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-6068
Country	:	US
Telephone Number	:	202-215-6199
Fax Number	:

Provider Business Practice Location Address
First Line	:	2331 15TH ST NW UNIT 308
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-6068
Country	:	US
Telephone Number	:	202-215-6199
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2021
Last Update Date	:	02/25/2021

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Directions to “ ELIZABETH CHAPKOVSKY ” Practice Location

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