| Doctor Name: | MS. JOSEPHINE A. CHASE |
| NPI Number: | 1801984026 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW-PIP |
| License Number: | 2103 |
| Business Practice Address: | 29 N 6th St. Custer, SD - 57730 |
| Business Phone Number: | 6054311927 |
| Business Fax Number: | 6059236466 |
| Mailing Address: | 15088 220th St, BOX ELDER |
| State: | SD |
| Postal Code: | 577198101 |
| Phone Number: | 6059236466 |
| Fax Number: | 6059236466 |
| NPI Enumeration Date: | 10/11/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2103 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |