Provider Demographics
NPI:1275835696
Name:CAPRARO, CARSHIA POLLARD (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CARSHIA
Middle Name:POLLARD
Last Name:CAPRARO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CARSHIA
Other - Middle Name:J
Other - Last Name:POLLARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:8535 CLIFF CAMERON DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-5908
Mailing Address - Country:US
Mailing Address - Phone:704-717-7477
Mailing Address - Fax:
Practice Address - Street 1:8535 CLIFF CAMERON DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-5908
Practice Address - Country:US
Practice Address - Phone:704-717-7477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-18
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0069311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical