Provider Demographics
NPI:1053366278
Name:CHAPIN, STARR ANGEL (LISW)
Entity type:Individual
Prefix:MS
First Name:STARR
Middle Name:ANGEL
Last Name:CHAPIN
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29525 CHAGRIN BLVD
Mailing Address - Street 2:STE. 309
Mailing Address - City:PEPPER PIKE
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4644
Mailing Address - Country:US
Mailing Address - Phone:216-464-5592
Mailing Address - Fax:216-464-5593
Practice Address - Street 1:29525 CHAGRIN BLVD
Practice Address - Street 2:STE. 309
Practice Address - City:PEPPER PIKE
Practice Address - State:OH
Practice Address - Zip Code:44122-4644
Practice Address - Country:US
Practice Address - Phone:216-464-5592
Practice Address - Fax:216-464-5593
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00097451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical