Provider Demographics
NPI:1407164783
Name:CHAP-MESPELT, CHANDRA (MSW)
Entity type:Individual
Prefix:MRS
First Name:CHANDRA
Middle Name:
Last Name:CHAP-MESPELT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 S ABEL ST
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5243
Mailing Address - Country:US
Mailing Address - Phone:408-934-5137
Mailing Address - Fax:408-957-5807
Practice Address - Street 1:701 S ABEL ST
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5243
Practice Address - Country:US
Practice Address - Phone:408-934-5137
Practice Address - Fax:408-957-5807
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-20
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA956841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health