Provider Demographics
NPI:1639395049
Name:CAPANNA, RENEE M (LISW)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:M
Last Name:CAPANNA
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1871 REDWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44301-3224
Mailing Address - Country:US
Mailing Address - Phone:330-724-1580
Mailing Address - Fax:330-867-0056
Practice Address - Street 1:70 N MILLER RD
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3702
Practice Address - Country:US
Practice Address - Phone:330-867-0066
Practice Address - Fax:330-867-0056
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 971001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical