Provider Demographics
NPI:1487397410
Name:CHAPLIK, JORDAN (LCSW, PLLC)
Entity type:Individual
Prefix:MS
First Name:JORDAN
Middle Name:
Last Name:CHAPLIK
Suffix:
Gender:F
Credentials:LCSW, PLLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3211 W LE MOYNE ST APT 3C
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60651-2681
Mailing Address - Country:US
Mailing Address - Phone:847-502-4983
Mailing Address - Fax:
Practice Address - Street 1:3211 W LE MOYNE ST APT 3C
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60651-2681
Practice Address - Country:US
Practice Address - Phone:847-502-4983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-18
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX663211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical