Basic Information
| Provider Information | |||||||||
| NPI: | 1568513687 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CAPRARO | ||||||||
| FirstName: | ANTHONY | ||||||||
| MiddleName: | VITO | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | LICSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 23 PARK ST | ||||||||
| Address2: | #3 | ||||||||
| City: | STONEHAM | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021803112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6173081651 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 500 VICTORY RD | ||||||||
| Address2: | SOUTH SHORE MENTAL HEALTH | ||||||||
| City: | QUINCY | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021713139 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6178471950 | ||||||||
| FaxNumber: | 6177869894 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/16/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 111729 | MA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.