Provider Demographics
NPI:1255840146
Name:CAPARRELLI, DAVID THOMAS JR (LICSW)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:THOMAS
Last Name:CAPARRELLI
Suffix:JR
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 PARK ST APT 10
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-4921
Mailing Address - Country:US
Mailing Address - Phone:413-770-1482
Mailing Address - Fax:
Practice Address - Street 1:266 BEACON ST STE 4
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-1288
Practice Address - Country:US
Practice Address - Phone:413-770-1482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-24
Last Update Date:2017-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1206511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical