Chappell, Susan L.
Chappell, Susan L. is an individual health care provider with primary practice located at 305 E Main St , Elizabeth City NC 27909-4425. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Chappell, Susan L. can be contacted via phone (252) 335-0803.Contact Information
Primary practice address
305 E Main St
Elizabeth City NC 27909-4425
Phone: (252) 335-0803
Fax: (252) 335-9143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C001281 | North Carolina |
Profile Details
| NPI number | 1376636928 |
|---|---|
| LBN Legal business name | Chappell, Susan L. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Sep 30th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376636928 | NPPES |
| North Carolina | MEDICAID | 6003405 | |
| North Carolina | Other | 1278F | |
| North Carolina | Other | 1278F |
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