Provider Demographics
NPI:1447433461
Name:CHAPMAN, CHRISTIE JOY EVERETT (LICSW)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:JOY EVERETT
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:JOY
Other - Last Name:EVERETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8A TROLLEY CAR LN
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-2931
Mailing Address - Country:US
Mailing Address - Phone:203-807-5435
Mailing Address - Fax:
Practice Address - Street 1:3 PEABODY ROW
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3302
Practice Address - Country:US
Practice Address - Phone:203-807-5435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-13
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH20251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical