Provider Demographics
NPI:1497238018
Name:CAPELLA, CHRISTINE SARAH (MSW)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:SARAH
Last Name:CAPELLA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14228 FARRALON CT
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-3715
Mailing Address - Country:US
Mailing Address - Phone:909-587-3956
Mailing Address - Fax:
Practice Address - Street 1:14228 FARRALON CT
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92336-3715
Practice Address - Country:US
Practice Address - Phone:909-587-3956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical