Provider Demographics
NPI:1992887608
Name:CAPLAN, PAULA RUTH (LCSW-R, CASAC)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:RUTH
Last Name:CAPLAN
Suffix:
Gender:F
Credentials:LCSW-R, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 12TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-5205
Mailing Address - Country:US
Mailing Address - Phone:718-788-4451
Mailing Address - Fax:718-788-3409
Practice Address - Street 1:512 12TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-5205
Practice Address - Country:US
Practice Address - Phone:718-788-4451
Practice Address - Fax:718-788-3409
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10887101YA0400X
NYR04579711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01661476Medicaid
NYNOC201Medicare ID - Type Unspecified