Chapman, Jeffrey Alan

Chapman, Jeffrey Alan is an individual health care provider with primary practice located at 204 Bevins Ln Ste A , Georgetown KY 40324-6145. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Chapman, Jeffrey Alan can be contacted via phone (859) 951-9777.

Contact Information

Primary practice address
204 Bevins Ln Ste A Georgetown KY 40324-6145
Fax: (859) 951-9779
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 256821 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 257203 Kentucky

Profile Details

NPI number 1316685480
LBN Legal business name Chapman, Jeffrey Alan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2022
Last updated Sep 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316685480 NPPES
Kentucky MEDICAID 7100842700

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