Provider Demographics
NPI:1104353846
Name:CHAPMAN, COURTNEY (LICSW)
Entity type:Individual
Prefix:MISS
First Name:COURTNEY
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 GILMAN ST # 1
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02145-4011
Mailing Address - Country:US
Mailing Address - Phone:585-469-8899
Mailing Address - Fax:
Practice Address - Street 1:1 DERBY ST STE 206
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-3786
Practice Address - Country:US
Practice Address - Phone:585-469-8899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-12
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1279561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical