William F Chaplin Jr., LICSW

Individual provider Active NPI Clinical Social Worker · Medway, MA

NPI 1114947280 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1114947280
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
110141 (MA)
Practice address
89 Main St
Suite 101
Medway, MA 02053-1828
Phone
(508) 330-0323
NPI assigned
Jul 20, 2006
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)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110141 MA Yes

Addresses

Primary practice location

89 Main St
Suite 101
Medway, MA 02053-1828

Mailing address

89 Main St
Suite 101
Medway, MA 02053-1828
Phone (508) 330-0323

Other identifiers

IdentifierTypeStateIssuer
P08184OtherMABCBSMA

Other providers in Medway, MA

All providers in Medway, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.