Individual provider · Type 1 NPI

Nicolette Grace Capocciamo, LMSW

Clinical Social Worker · Goshen, NY

NPI number 1700484912 Active

Practice location

2002 Route 17M Ste 10
Goshen, NY 10924-5236

Mailing address

2 Tuthill Rd
Blooming Grove, NY 10914-5008

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP106917 (NY)

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 1700484912

Nicolette Grace Capocciamo, LMSW's National Provider Identifier is 1700484912, issued on Oct 12, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Goshen, NY. The record was last updated on Oct 12, 2020.