Provider Demographics
NPI:1407522485
Name:CAPECCHI, STEPHANIE PAYNE (LCSW)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:PAYNE
Last Name:CAPECCHI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 GLEN STEWART DR
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-1949
Mailing Address - Country:US
Mailing Address - Phone:608-224-9502
Mailing Address - Fax:
Practice Address - Street 1:21 GLEN STEWART DR
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08618-1949
Practice Address - Country:US
Practice Address - Phone:608-224-9502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC060172001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical