Emily Chappell, LCSW-R, P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

064097 Issued in NY

Legal business name

EMILY CHAPPELL, LCSW-R, P.C.

Practice address

3239 Route 112 Ste 5
Medford, NY 11763-1432

Phone

(631) 672-9651

Fax

(631) 320-1779

NPI assigned

Dec 28, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Emily F Chappell, LCSW-RNPI 1447404033

Title

President

Phone

(631) 672-9651

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily F Chappell, LCSW, ACSW, ASW-G, C

  • Social Worker
  • Medford, NY
  • NPI 1447404033

  Clinical

  NPD (past) Authorized official

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1790220804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3239 ROUTE 112 STE 5",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117631432",
            "telephone_number": "631-672-9651",
            "fax_number": "631-320-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3239 ROUTE 112 STE 5",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117631432",
            "telephone_number": "631-672-9651",
            "fax_number": "631-320-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY CHAPPELL, LCSW-R, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "CHAPPELL",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-672-9651",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "064097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03155488",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchel Wayne Eisenstein, L.M.S.W., D.C.
• Esther Williams Ekanem, LMHC, CASAC, NCC
• Jeffrey Mark Ellis, D.D.S., M.S.,C.N.S
• Regina Marie Ely, LCSW
• Edwin A Emerson, D.C.
• Empire Vision Center Inc
• Sean Engebretsen
• Keri Ann Engel, LPN
• Joselyn Escajadillo
• Maureen Teresa Escobar, M.A., CCC/SLP

• Clinical Social Worker in Medford, NY
• Providers in Medford, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.