Provider Demographics
NPI:1750682308
Name:CAPOZZI, ERIN H (LCSW)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:H
Last Name:CAPOZZI
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 1:1714 STRINE DR
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-4744
Mailing Address - Country:US
Mailing Address - Phone:703-216-4474
Mailing Address - Fax:
Practice Address - Street 1:1714 STRINE DR
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-4744
Practice Address - Country:US
Practice Address - Phone:703-216-4474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-14
Last Update Date:2010-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040074991041C0700X
MD094281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical