Doctor Name: | VIRGINIA J CAPUTY |
NPI Number: | 1154327641 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 2001015393 |
Business Practice Address: | 321 W Promenade St Mexico, MO - 65265 |
Business Phone Number: | 5735821234 |
Business Fax Number: | 5735821212 |
Mailing Address: | 321 W Promenade St, MEXICO |
State: | MO |
Postal Code: | 65265 |
Phone Number: | 5735821234 |
Fax Number: | 5735821212 |
NPI Enumeration Date: | 06/21/2005 |
NPI Last Update Date: | 02/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2001015393 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |