Provider Demographics
NPI:1780967174
Name:CAPRIOTTI, KIMBERLY ELIZABETH (LMSW)
Entity type:Individual
Prefix:MISS
First Name:KIMBERLY
Middle Name:ELIZABETH
Last Name:CAPRIOTTI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-5664
Mailing Address - Country:US
Mailing Address - Phone:716-807-3850
Mailing Address - Fax:716-807-3858
Practice Address - Street 1:195 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:NORTH TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-5664
Practice Address - Country:US
Practice Address - Phone:716-807-3850
Practice Address - Fax:716-807-3858
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY585641041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01377162Medicaid