Provider Demographics
NPI:1013310366
Name:CIANCI CHAPMAN, SERGIO ALEJANDRO (LMHC/LPCC)
Entity type:Individual
Prefix:MR
First Name:SERGIO
Middle Name:ALEJANDRO
Last Name:CIANCI CHAPMAN
Suffix:
Gender:M
Credentials:LMHC/LPCC
Other - Prefix:
Other - First Name:SERGIO
Other - Middle Name:ALEJANDRO
Other - Last Name:CIANCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1825 CREEKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:IL
Mailing Address - Zip Code:62226-8509
Mailing Address - Country:US
Mailing Address - Phone:636-445-2276
Mailing Address - Fax:
Practice Address - Street 1:1825 CREEKSIDE DR
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:IL
Practice Address - Zip Code:62226-8509
Practice Address - Country:US
Practice Address - Phone:636-445-2276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-01
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH25866101YM0800X
NMCCMH0187081101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health