NPI 1245967512

Jessica Raeanne Chapman

Practitioner Clinical Social Worker Ponderay, ID

Practice location

Address: 30410 Highway 200 STE 200b-3, Ponderay, ID 83852-9601
Phone: (208) 627-7819
Mailing address: 217 Cedar St # 302, Sandpoint, ID 83864-1410

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LCSW-8911015 (ID)

Other Social Worker providers in Idaho →

Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 42252 (ID)

Registry record

NPI: 1245967512
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2022
Record last updated: 10 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.