Provider Demographics
NPI:1396139739
Name:CAPOZZI, KARA (MSW)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:CAPOZZI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 ERIE BLVD
Mailing Address - Street 2:
Mailing Address - City:SUSQUEHANNA
Mailing Address - State:PA
Mailing Address - Zip Code:18847-2791
Mailing Address - Country:US
Mailing Address - Phone:570-853-0911
Mailing Address - Fax:570-853-0910
Practice Address - Street 1:155 ERIE BLVD
Practice Address - Street 2:
Practice Address - City:SUSQUEHANNA
Practice Address - State:PA
Practice Address - Zip Code:18847-2791
Practice Address - Country:US
Practice Address - Phone:570-853-3577
Practice Address - Fax:570-853-3587
Is Sole Proprietor?:No
Enumeration Date:2015-03-24
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health