Provider Demographics
NPI:1013048511
Name:DECAPRIO, DANIELLE THERESE (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:DANIELLE
Middle Name:THERESE
Last Name:DECAPRIO
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 1:2320 MERGANZER RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-8560
Mailing Address - Country:US
Mailing Address - Phone:919-398-5351
Mailing Address - Fax:
Practice Address - Street 1:1804 MLK JR. PARKWAY
Practice Address - Street 2:SUITE 210
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707
Practice Address - Country:US
Practice Address - Phone:919-489-2254
Practice Address - Fax:919-403-1551
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0052821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical