Cappuccio, Kenneth Thomas

Cappuccio, Kenneth Thomas is an sole proprietor health care provider with primary practice located at 2195 Haystack Way , Myrtle Beach SC 29579-3276. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cappuccio, Kenneth Thomas can be contacted via phone (908) 447-2913.

Contact Information

Primary practice address
2195 Haystack Way Myrtle Beach SC 29579-3276
Phone: (908) 447-2913
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 14749 South Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC04533100 New Jersey

Profile Details

NPI number 1073674776
LBN Legal business name Cappuccio, Kenneth Thomas
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Sep 27th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073674776 NPPES
Other 274527 MHN
Other 5907728 MHN
Other 465949000 MHN
Other 477445 MHN

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