Basic Information
Provider Information
NPI: 1588059331
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHAPMAN
FirstName: JOY
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: MSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3680 TRESTLEWOOD LN
Address2:  
City: MORGANTON
State: NC
PostalCode: 286557923
CountryCode: US
TelephoneNumber: 8285844797
FaxNumber:  
Practice Location
Address1: 190 N MAIN ST
Address2:  
City: RUTHERFORDTON
State: NC
PostalCode: 281392502
CountryCode: US
TelephoneNumber: 8282877945
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/30/2015
LastUpdateDate: 03/30/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XP008333NCY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


Home