Individual provider · Type 1 NPI
Kenneth Thomas Cappuccio, LCSW
Clinical Social Worker · Myrtle Beach, SC
Practice location
2195 Haystack Way
Myrtle Beach, SC 29579-3276
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 14749 (SC) |
| Clinical Social Worker | 1041C0700X | 44SC04533100 (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 1073674776
Kenneth Thomas Cappuccio, LCSW's National Provider Identifier is 1073674776, issued on Dec 13, 2006. 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.