Provider Demographics
NPI:1942856760
Name:CAPRA, PAOLA MARIA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:PAOLA
Middle Name:MARIA
Last Name:CAPRA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:PAOLA
Other - Middle Name:MARIA
Other - Last Name:CAPRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:11509 CAMPBELL ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-3830
Mailing Address - Country:US
Mailing Address - Phone:816-721-8166
Mailing Address - Fax:
Practice Address - Street 1:11509 CAMPBELL ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-3830
Practice Address - Country:US
Practice Address - Phone:816-721-8166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-16
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20180126841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical