| Emily Chappell, Lcsw-r, P.c. | |
|
3239 Route 112 Ste 5 Medford NY 11763-1432 | |
| (631) 672-9651 | |
| (631) 320-1779 |
| Full Name | Emily Chappell, Lcsw-r, P.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3239 Route 112 Ste 5, Medford, New York |
| Authorized Official Name and Position | Emily F Chappell (PRESIDENT) |
| Authorized Official Contact | 6316729651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Chappell, Lcsw-r, P.c. 3239 Route 112 Ste 5 Medford NY 11763-1432 Ph: (631) 672-9651 | Emily Chappell, Lcsw-r, P.c. 3239 Route 112 Ste 5 Medford NY 11763-1432 Ph: (631) 672-9651 |
| NPI Number | 1790220804 |
|---|---|
| Provider Enumeration Date | 12/28/2016 |
| Last Update Date | 02/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790220804 | NPI | - | NPPES |
| 03155488 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 064097 (New York) | Primary |
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