Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH THOMAS CAPPUCCIO, LCSW
Active Sole ProprietorMR. KENNETH THOMAS CAPPUCCIO, LCSW is a Clinical Social Worker healthcare provider located in MYRTLE BEACH, South Carolina. NPI 1073674776 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MYRTLE BEACH, SC
Registration Details
- NPI Number
- 1073674776
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2006 (19.626815342801 yrs)
- Last Updated
- Sep 27, 2022
- Licenses
-
14749 (SC)44SC04533100 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2195 HAYSTACK WAYMYRTLE BEACH, SC, 295793276Browse SC providers · Browse ZIP 29579
- Phone
- 9084472913
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in MYRTLE BEACH, SC
| Name | Credential | NPI |
|---|---|---|
| MR. LOUIS D MURDEN | LISW | 1932100377 |
| KELLIE MCDOUGALL LEWIS | L.I.S.W-CP, CAC-AD | 1265421937 |
| VICTORIA CAREY | MSW, LISW-CP | 1518914878 |
| DAVID THOMAS LANE | LISW-CP | 1114950045 |
| MS. LISA J SMITH | LCSWR, LISW-CP | 1730298514 |
| DONNA TOHL -SANTIAGO | LCSW R, LISW-CP | 1518031921 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.