Provider Demographics
NPI:1710162797
Name:CAPINAS, LAURA KATHLEEN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:KATHLEEN
Last Name:CAPINAS
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 1:411 EAST ST
Mailing Address - Street 2:
Mailing Address - City:HEALDSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:95448-3929
Mailing Address - Country:US
Mailing Address - Phone:707-478-5552
Mailing Address - Fax:
Practice Address - Street 1:411 EAST ST
Practice Address - Street 2:
Practice Address - City:HEALDSBURG
Practice Address - State:CA
Practice Address - Zip Code:95448-3929
Practice Address - Country:US
Practice Address - Phone:707-478-5552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS247741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical