Organization Name: | KENNETH T CAPPUCCIO LLC |
NPI Number: | 1023295367 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH THOMAS CAPPUCCIO (PRESIDENT) |
Mailing Address: | 114 South Euclid Ave Floor 3 Westfield |
State: | NJ US |
Postal Code: | 07090 |
Phone Number: | 9082334645 |
Fax Number: | 9082334645 |
NPI Enumeration Date: | 01/29/2008 |
NPI Last Update Date: | 04/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC04533100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |