Provider Demographics
NPI:1487725503
Name:CAPPER, PETER T (MSW LCSW)
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:T
Last Name:CAPPER
Suffix:
Gender:M
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 E GERMANTOWN PIKE STE 204
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1533
Mailing Address - Country:US
Mailing Address - Phone:215-782-8625
Mailing Address - Fax:215-242-8869
Practice Address - Street 1:4 E GERMANTOWN PIKE STE 204
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1533
Practice Address - Country:US
Practice Address - Phone:215-782-8625
Practice Address - Fax:215-242-8869
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0122251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical