Provider Demographics
NPI:1396297396
Name:CAPASSO LLC, NIKIDA
Entity type:Individual
Prefix:
First Name:NIKIDA
Middle Name:
Last Name:CAPASSO LLC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NIKIDA
Other - Middle Name:
Other - Last Name:CAPASSO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:306 S NEW ST STE 110
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1110
Mailing Address - Country:US
Mailing Address - Phone:267-354-0767
Mailing Address - Fax:484-328-6659
Practice Address - Street 1:306 S NEW ST STE 110
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-1110
Practice Address - Country:US
Practice Address - Phone:267-354-0767
Practice Address - Fax:484-328-6659
Is Sole Proprietor?:No
Enumeration Date:2016-10-26
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0209891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical