Individual provider · Type 1 NPI

Jessica Raeanne Chapman

Clinical Social Worker · Ponderay, ID

NPI number 1245967512 Active

Practice location

30410 Highway 200 Ste 200B-3
Ponderay, ID 83852-9601

Mailing address

217 Cedar St # 302
Sandpoint, ID 83864-1410

Other practice locations

  • 810 Sixth Ave, Sandpoint, ID 83864-5396 · (208) 265-2242

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X42252 (ID)
Clinical Social Worker Primary 1041C0700XLCSW-8911015 (ID)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1245967512

Jessica Raeanne Chapman's National Provider Identifier is 1245967512, issued on Aug 5, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ponderay, ID. The record was last updated on Jul 10, 2025.