Provider Demographics
NPI:1821586702
Name:CAPPETTA, SARAH D (LICSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:D
Last Name:CAPPETTA
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:D
Other - Last Name:DEMPSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:745 BAILEY RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05663-6074
Mailing Address - Country:US
Mailing Address - Phone:802-522-5393
Mailing Address - Fax:
Practice Address - Street 1:260 BECKLEY HILL RD
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-9080
Practice Address - Country:US
Practice Address - Phone:802-476-1480
Practice Address - Fax:802-479-4095
Is Sole Proprietor?:No
Enumeration Date:2018-04-26
Last Update Date:2023-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089.01184481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1032977Medicaid