Kenneth Thomas Cappuccio in Myrtle Beach - Clinical

Kenneth Thomas Cappuccio - NPI 1073674776

Kenneth Thomas Cappuccio is a Clinical in Myrtle Beach, South Carolina. Kenneth Thomas Cappuccio practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth Thomas Cappuccio is 1073674776. The last update date is 2022-09-27.

Kenneth Thomas Cappuccio's current location address is 2195 Haystack Way, Myrtle Beach, South Carolina. You can contact this provider via phone number 9084472913. The mailing address for Kenneth Thomas Cappuccio is 2195 Haystack Way, Myrtle Beach, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Thomas Cappuccio
Address 2195 Haystack Way, Myrtle Beach, South Carolina
Phone Number 9084472913
Fax Number
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1073674776
Provider Enumeration Date 2006-12-13
Last Updated Date 2022-09-27

Provider Mailing Address Detail

Address 2195 Haystack Way
City Myrtle Beach
State South Carolina (SC)
Post Code 295793276
Phone Number 9084472913
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 14749
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
274527 MHN
5907728 AETNA
465949000 MAGELLAN ICE
477445 VALUE OPTIONS

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FAQs about Kenneth Thomas Cappuccio

What is the unique identifier code issued to Kenneth Thomas Cappuccio by the Centers for Medicare & Medicaid Services?

The Kenneth Thomas Cappuccio has been assigned the NPI (National Provider Identifier) 1073674776. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Kenneth Thomas Cappuccio is physically located?

The Kenneth Thomas Cappuccio is situated at the following address: 2195 Haystack Way, Myrtle Beach, SC 295793276.

What is Kenneth Thomas Cappuccio's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kenneth Thomas Cappuccio is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

When did Kenneth Thomas Cappuccio receive its 1073674776 assignment?

The Kenneth Thomas Cappuccio was assigned its 1073674776 on 2006-12-13, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Kenneth Thomas Cappuccio, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kenneth Thomas Cappuccio, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-09-27.

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