Robert Michael Chapmon

Individual provider Active NPI Social Worker · Bay St Louis, MS

NPI 1013767136 · NPPES record last updated Mar 22, 2024

Key facts

NPI
1013767136
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
Practice address
13131 Highway 603 Ste 107
Bay St Louis, MS 39520-8746
Phone
(228) 466-4690
Fax
(228) 466-4668
NPI assigned
Mar 22, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Yes

Addresses

Primary practice location

13131 Highway 603 Ste 107
Bay St Louis, MS 39520-8746

Mailing address

1867 Crane Ridge Dr Ste 150C
Jackson, MS 39216-4982

Other providers in Bay St Louis, MS

All providers in Bay St Louis, MS · Social Worker in Mississippi

Sources for this page

Verify at the official NPI Registry.