Individual provider Active NPI

Terry Lynn Chapman, MSW, LICSW

  • Clinical Social Worker
  • Fairmont, WV
National Provider Identifier
1821366741
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BP00943687 Issued in WV
Practice address
207 Fairmont Ave
Suite 2
Fairmont, WV 26554-2859
Phone
(304) 363-4265
NPI assigned
Dec 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BP00943687 WV Primary

Addresses

Primary practice location

207 Fairmont Ave
Suite 2
Fairmont, WV 26554-2859

Mailing address

1129 Morningstar LN
Fairmont, WV 26554-1413
Phone (304) 657-0007

Other identifiers 1

IdentifierTypeStateIssuer
12332461OtherWVCAQH

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BP00943687WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sanas Nutrition & Therapy LLC CurrentSince Oct 27, 2024 Accepting new patients

Locations

709 Beechurst Ave
Ste 14B
Morgantown, WV 26505
Phone (304) 291-9491

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.

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1821366741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 MORNINGSTAR LN",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541413",
            "telephone_number": "304-657-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 FAIRMONT AVE",
            "address_2": "SUITE 2",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542859",
            "telephone_number": "304-363-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "TERRY",
        "middle_name": "LYNN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "BP00943687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12332461",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.