Provider Demographics
NPI:1043695000
Name:CHAFEE, ELIZABETH LEE (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:LEE
Last Name:CHAFEE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:LEE
Other - Last Name:COMEGYS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:463 SWANSEA MALL DRIVE
Mailing Address - Street 2:SOUTH BAY MENTAL HEALTH CENTER
Mailing Address - City:SWANSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02777
Mailing Address - Country:US
Mailing Address - Phone:508-324-1060
Mailing Address - Fax:508-672-3619
Practice Address - Street 1:463 SWANSEA MALL DRIVE
Practice Address - Street 2:SOUTH BAY MENTAL HEALTH CENTER
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777
Practice Address - Country:US
Practice Address - Phone:508-324-1060
Practice Address - Fax:508-672-3619
Is Sole Proprietor?:No
Enumeration Date:2015-07-20
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW017541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical