Provider Demographics
NPI:1992949408
Name:CHAPMAN, JINETTE JADE (LMSW)
Entity type:Individual
Prefix:MS
First Name:JINETTE
Middle Name:JADE
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8171
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-8171
Mailing Address - Country:US
Mailing Address - Phone:734-883-5535
Mailing Address - Fax:248-325-5846
Practice Address - Street 1:25882 ORCHARD LAKE RD
Practice Address - Street 2:SUITE L-5
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-1292
Practice Address - Country:US
Practice Address - Phone:734-883-5535
Practice Address - Fax:248-325-5846
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010898041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical