Doctor Name: | ELIZABETH LEE CHAFEE |
NPI Number: | 1043695000 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | CSW01754 |
Business Practice Address: | 463 Swansea Mall Drive South Bay Mental Health Center Swansea, MA - 02777 |
Business Phone Number: | 5083241060 |
Business Fax Number: | 5086723619 |
Mailing Address: | 463 Swansea Mall Drive, South Bay Mental Health Center SWANSEA |
State: | MA |
Postal Code: | 02777 |
Phone Number: | 5083241060 |
Fax Number: | 5086723619 |
NPI Enumeration Date: | 07/20/2015 |
NPI Last Update Date: | 07/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CSW01754 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |