Provider Demographics
NPI:1386125987
Name:CAPRON, RICHARD WESLEY (LCSW)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:WESLEY
Last Name:CAPRON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 285
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:24435-0285
Mailing Address - Country:US
Mailing Address - Phone:253-592-9175
Mailing Address - Fax:
Practice Address - Street 1:205 S RANDOLPH ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-2366
Practice Address - Country:US
Practice Address - Phone:253-592-9175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040104241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical