Provider Demographics
NPI:1457107450
Name:CAPUTO, KATHERINE (MSW)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:CAPUTO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:CAPUTO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:27 BRECKENRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-3201
Mailing Address - Country:US
Mailing Address - Phone:630-699-5209
Mailing Address - Fax:
Practice Address - Street 1:1250 N MILL ST STE 101
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-6305
Practice Address - Country:US
Practice Address - Phone:630-473-3971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker