Individual provider Active NPI

Jaqualine Chapman

  • Clinical Social Worker
  • Poughkeepsie, NY
National Provider Identifier
1164123360
Registry record updated Sep 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
116821 Issued in NY
Practice address
158 David Dr
Poughkeepsie, NY 12601-6562
Phone
(845) 505-0554
NPI assigned
Mar 14, 2023
Last updated
Sep 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 24502 FL
Clinical Social Worker 1041C0700X 15705 CT
Clinical Social Worker 1041C0700X 116821 NY Primary

Addresses

Primary practice location

158 David Dr
Poughkeepsie, NY 12601-6562

Mailing address

158 David Dr
Poughkeepsie, NY 12601-6562
Phone (845) 505-0554

Other practice location 1

7 Pine Woods Rd Ste 3B
Hyde Park, NY 12538-1650
Phone (845) 214-4828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15705CTMDClinical Social Worker
24502FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chapman Care Services Inc Clinical CurrentSince Mar 19, 2023 Accepting new patients

Locations

7 Pine Woods Rd
Ste 3
Hyde Park, NY 12538
Phone (845) 505-9975

7 Pine Woods Rd
Ste 3B
Hyde Park, NY 12538
Phone (845) 214-4828

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759017600000",
    "number": "1164123360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 DAVID DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126016562",
            "telephone_number": "845-505-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 DAVID DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126016562",
            "telephone_number": "845-505-0554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Pine Woods Rd Ste 3B",
            "address_purpose": "LOCATION",
            "city": "Hyde Park",
            "state": "NY",
            "postal_code": "125381650",
            "country_code": "US",
            "telephone_number": "845-214-4828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "JAQUALINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2025-09-28",
        "certification_date": "2025-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "24502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "15705",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "116821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.