Provider Demographics
NPI:1144993270
Name:CHAPMAN, KATELYN MICHELLE (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:MICHELLE
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 FOUNTAIN BROOK CIR STE B
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4478
Mailing Address - Country:US
Mailing Address - Phone:919-297-8322
Mailing Address - Fax:
Practice Address - Street 1:106 FOUNTAIN BROOK CIR STE B
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4478
Practice Address - Country:US
Practice Address - Phone:919-297-8322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0162341041C0700X
NCC0165031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical