Provider Demographics
NPI:1578809802
Name:CAPEL, LAUREN H (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:H
Last Name:CAPEL
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 OPEN GATE CT
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-1670
Mailing Address - Country:US
Mailing Address - Phone:443-629-4168
Mailing Address - Fax:
Practice Address - Street 1:27 OPEN GATE CT
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-1670
Practice Address - Country:US
Practice Address - Phone:443-629-4168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD153691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical