| Organization Name: | KATHRYN CAPAWANA, LCSW, LCADC, LLC |
| NPI Number: | 1902188915 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHRYN CAPAWANA (OWNER) |
| Mailing Address: | 645 Westwood Ave Suite 204 Rivervale |
| State: | NJ US |
| Postal Code: | 076756295 |
| Phone Number: | 2018956402 |
| Fax Number: | 2013581386 |
| NPI Enumeration Date: | 09/15/2011 |
| NPI Last Update Date: | 09/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC05158800 |
| 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 |