Provider Demographics
NPI:1235005828
Name:CAPORELLO, NANCY B (LEP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:B
Last Name:CAPORELLO
Suffix:
Gender:F
Credentials:LEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 ELM SQ STE 311
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-3668
Mailing Address - Country:US
Mailing Address - Phone:978-219-4896
Mailing Address - Fax:
Practice Address - Street 1:2 ELM SQ STE 311
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3668
Practice Address - Country:US
Practice Address - Phone:978-219-4896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1194103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist