Santana Marie Chapman

Individual provider Active NPI Clinical Social Worker · Wyoming, IA

NPI 1619656436 · NPPES record last updated Jul 18, 2023

Key facts

NPI
1619656436
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
119502 (IA)
Practice address
109 W Green St
Wyoming, IA 52362-7740
Phone
(319) 259-5340
NPI assigned
Jul 18, 2023
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
119502IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Counseling & Consulting, PLLC Clinical Current
since Jul 31, 2023
Accepting new patients

Locations

213 E Main St
Anamosa, IA 52205

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 119502 IA Yes

Addresses

Primary practice location

109 W Green St
Wyoming, IA 52362-7740

Mailing address

213 E Main St
Anamosa, IA 52205-5701
Phone (319) 224-0722

Electronic endpoints

TypeEndpointUseAffiliation
Other URL http://www.therapnotes.com/app/login/RISECounseling52205/ Health Information Exchange (HIE)

Other providers in Wyoming, IA

All providers in Wyoming, IA · Clinical Social Worker in Iowa

Sources for this page

Verify at the official NPI Registry.