Provider Demographics
NPI:1588914790
Name:CAPONE, ERICA RACHEL (MSW)
Entity type:Individual
Prefix:MISS
First Name:ERICA
Middle Name:RACHEL
Last Name:CAPONE
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 1:35 MITCHELL RD
Mailing Address - Street 2:
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-1218
Mailing Address - Country:US
Mailing Address - Phone:978-356-9321
Mailing Address - Fax:978-356-9724
Practice Address - Street 1:35 MITCHELL RD
Practice Address - Street 2:
Practice Address - City:IPSWICH
Practice Address - State:MA
Practice Address - Zip Code:01938-1218
Practice Address - Country:US
Practice Address - Phone:978-356-9321
Practice Address - Fax:978-356-9724
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical