| Mary Chapman, Lscsw Llc | |
|
7570 W 21st St N Ste 1046a Wichita KS 67205-1771 | |
| (316) 749-8179 | |
| (316) 869-0665 |
| Full Name | Mary Chapman, Lscsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7570 W 21st St N Ste 1046a, Wichita, Kansas |
| Authorized Official Name and Position | Mary Barbara Chapman (THERAPIST) |
| Authorized Official Contact | 3168669082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Chapman, Lscsw Llc 7570 W 21st St N Ste 1046a Wichita KS 67205-1771 Ph: (316) 749-8179 | Mary Chapman, Lscsw Llc 7570 W 21st St N Ste 1046a Wichita KS 67205-1771 Ph: (316) 749-8179 |
| NPI Number | 1942783980 |
|---|---|
| Provider Enumeration Date | 09/14/2018 |
| Last Update Date | 10/25/2022 |
| Certification Date | 10/25/2022 |
| Medicare PECOS PAC ID | 4688927239 |
|---|---|
| Medicare Enrollment ID | O20181029000797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942783980 | NPI | - | NPPES |
| 1780126128 | Other | KS | LSCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mary B Chapman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780126128 PECOS PAC ID: 9739460064 Enrollment ID: I20161229000137 |
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