Provider Demographics
NPI:1558300921
Name:CHILD ABUSE PREVENTION ASSOCIALTION, INC
Entity Type:Organization
Organization Name:CHILD ABUSE PREVENTION ASSOCIALTION, INC
Other - Org Name:CAPA
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:ISSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-252-8388
Mailing Address - Street 1:503 E 23RD ST S
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-1502
Mailing Address - Country:US
Mailing Address - Phone:816-252-8388
Mailing Address - Fax:816-252-1337
Practice Address - Street 1:503 E 23RD ST S
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-1502
Practice Address - Country:US
Practice Address - Phone:816-252-8388
Practice Address - Fax:816-252-1337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW0054821041C0700X
MO20020300471041C0700X
MO20040302171041C0700X
MO2004019045106H00000X
251B00000X, 251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Not Answered251B00000XAgenciesCase ManagementGroup - Multi-Specialty
Not Answered251V00000XAgenciesVoluntary or CharitableGroup - Multi-Specialty