Provider Demographics
NPI:1487219408
Name:CAPARELLA, ARIANE (LCSW)
Entity Type:Individual
Prefix:
First Name:ARIANE
Middle Name:
Last Name:CAPARELLA
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 1:6995 S ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32169-5007
Mailing Address - Country:US
Mailing Address - Phone:407-873-6212
Mailing Address - Fax:
Practice Address - Street 1:333 W WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32720-4132
Practice Address - Country:US
Practice Address - Phone:386-734-3101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-06
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL149741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical