Provider Demographics
NPI:1932265154
Name:CAPUTI, LUCIA MARIA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LUCIA
Middle Name:MARIA
Last Name:CAPUTI
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 1:248 N WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-1739
Mailing Address - Country:US
Mailing Address - Phone:516-454-7517
Mailing Address - Fax:516-454-7517
Practice Address - Street 1:248 N WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-1739
Practice Address - Country:US
Practice Address - Phone:516-454-7517
Practice Address - Fax:516-454-7517
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR041090-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY061947Medicare UPIN
NYN73481Medicare ID - Type Unspecified