Provider Demographics
NPI:1609452937
Name:CAPEL, CAMARA (LCSW)
Entity Type:Individual
Prefix:
First Name:CAMARA
Middle Name:
Last Name:CAPEL
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 1:8745 WOODLAWN RD
Mailing Address - Street 2:
Mailing Address - City:FORT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060-5277
Mailing Address - Country:US
Mailing Address - Phone:850-296-2988
Mailing Address - Fax:
Practice Address - Street 1:8745 WOODLAWN RD
Practice Address - Street 2:
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-5277
Practice Address - Country:US
Practice Address - Phone:850-296-2988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040127061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical