Provider Demographics
NPI:1003413410
Name:CAPRICE ROYAL, LCSW P.L.L.C
Entity Type:Organization
Organization Name:CAPRICE ROYAL, LCSW P.L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAPRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROYAL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:917-365-7311
Mailing Address - Street 1:368 SAINT NICHOLAS AVE APT 2A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-7678
Mailing Address - Country:US
Mailing Address - Phone:917-365-7311
Mailing Address - Fax:
Practice Address - Street 1:368 SAINT NICHOLAS AVE APT 2A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-7678
Practice Address - Country:US
Practice Address - Phone:917-365-7311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty