Organization · Type 2 NPI

Kenneth T Cappuccio LLC

Clinical Social Worker · Myrtle Beach, SC

NPI number 1023295367 Active

Practice location

2195 Haystack Way
Myrtle Beach, SC 29579-3276

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC04533100 (NJ)

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1023295367

Kenneth T Cappuccio LLC's National Provider Identifier is 1023295367, issued on Jan 29, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Myrtle Beach, SC. The record was last updated on Sep 27, 2022.