Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
MARY CHRISTINE CHUPKOWSKI LCSW
NPI 1730183682
Counselor - Mental Health in Fayetteville, NC
Active since June 09, 2005
About Mary Christine Chupkowski Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY CHRISTINE CHUPKOWSKI LCSW (NPI 1730183682) is an individual mental health provider in Fayetteville, North Carolina, licensed in North Carolina (C003401) and active in the NPI registry since June 2005.
NPPES Registry Identity
NPI1730183682
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY CHRISTINE CHUPKOWSKICredential: LCSW
Location Address3425 MELROSE RDFayetteville, NC 28304-1608
Mailing Address3425 Melrose RdFayetteville, NC 28304-1608 · (910) 609-3700 · Fax (910) 609-3784
Phone(910) 609-3700
Fax(910) 609-3784
Sole ProprietorNo
Enumeration DateJune 9, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1730183682 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · C003401
3425 MELROSE RD, Fayetteville, NC 28304
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Physician Assistant
3425 MELROSE RD, BEHAVIORAL HEALTH CARE
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
Psychiatric Hospital
3425 MELROSE RD
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730183682, enumerated as an "individual" on June 09, 2005.
The provider is located at 3425 MELROSE RD FAYETTEVILLE, NC 28304 and the phone number is (910) 609-3700.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.