Provider Demographics
NPI:1033964804
Name:CAPELL, ALEXZANDER JOHN (CSW)
Entity Type:Individual
Prefix:
First Name:ALEXZANDER
Middle Name:JOHN
Last Name:CAPELL
Suffix:
Gender:M
Credentials:CSW
Other - Prefix:
Other - First Name:ALEXZANDER
Other - Middle Name:JOHN
Other - Last Name:CAPELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ALEX
Mailing Address - Street 1:801 N SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57110-5746
Mailing Address - Country:US
Mailing Address - Phone:605-965-3109
Mailing Address - Fax:
Practice Address - Street 1:801 N SYCAMORE AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57110-5746
Practice Address - Country:US
Practice Address - Phone:605-965-3109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD65761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical