Provider Demographics
NPI:1881218204
Name:KAPPELER-MCCAFFERTY, FAITH LYNN (LISW)
Entity Type:Individual
Prefix:MS
First Name:FAITH
Middle Name:LYNN
Last Name:KAPPELER-MCCAFFERTY
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 1:1090 ARCARO DR
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-3855
Mailing Address - Country:US
Mailing Address - Phone:614-397-4380
Mailing Address - Fax:
Practice Address - Street 1:620 ALUM CREEK DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-1653
Practice Address - Country:US
Practice Address - Phone:614-397-4380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-01
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.00091251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical