| Doctor Name: | MR. MARK DAVID CHAPMAN |
| NPI Number: | 1760654776 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 44SC05347800 |
| Business Practice Address: | 117 Kinderkamack Rd 2nd Floor River Edge, NJ - 07661 |
| Business Phone Number: | 2014419335 |
| Business Fax Number: | 2014419711 |
| Mailing Address: | 516 Valley Brook Avenue, LYNDHURST |
| State: | NJ |
| Postal Code: | 07071 |
| Phone Number: | 2019353322 |
| Fax Number: | 2014603698 |
| NPI Enumeration Date: | 03/31/2008 |
| NPI Last Update Date: | 03/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC05347800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |