Provider Demographics
NPI:1730456807
Name:SCAPINI-BURRELL, ISABELLA (LCSW-C)
Entity Type:Individual
Prefix:
First Name:ISABELLA
Middle Name:
Last Name:SCAPINI-BURRELL
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 1:133 DEFENSE HWY
Mailing Address - Street 2:SUITE 210, THE COURTYARDS
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7098
Mailing Address - Country:US
Mailing Address - Phone:301-706-9560
Mailing Address - Fax:
Practice Address - Street 1:133 DEFENSE HWY
Practice Address - Street 2:SUITE 210, THE COURTYARDS
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7098
Practice Address - Country:US
Practice Address - Phone:301-706-9560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD171771041C0700X
NY049947-R1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical