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Mr. Kenneth Thomas Cappuccio, LCSW
Clinical Social Worker in Myrtle Beach, South Carolina
NPI 1073674776

Kenneth Thomas Cappuccio is a Clinical Social Worker based in Myrtle Beach, SC and is specialized in Clinical. Kenneth Thomas Cappuccio practices in Myrtle Beach, SC and has the professional credentials of LCSW. The NPI Number for Kenneth Thomas Cappuccio is 1073674776 and holds a License No. 14749 (South Carolina).

The current practice location address for Kenneth Thomas Cappuccio is 2195 Haystack Way, Myrtle Beach, SC and can be reached out via phone at 908-447-2913. You can also correspond with Kenneth Thomas Cappuccio through the mailing address at 2195 HAYSTACK WAY, MYRTLE BEACH, SC - 29579-3276 (mailing address contact number: 908-447-2913).

Location: 2195 Haystack Way, Myrtle Beach, SC, 29579-3276
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073674776
Provider Name
Kenneth Thomas Cappuccio
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
2195 Haystack Way, Myrtle Beach, SC, 29579-3276
Phone Number
908-447-2913
Fax Number
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
274527 01 MHN
5907728 01 AETNA
465949000 01 MAGELLAN ICE
477445 01 VALUE OPTIONS
institution
Provider Business Practice Location Address Details
Address
2195 Haystack Way
City
Myrtle Beach
State
South Carolina
Zip
29579-3276
Phone Number
908-447-2913
Fax Number
person
Provider Business Mailing Address Details
Address
2195 Haystack Way
City
Myrtle Beach
State
South Carolina
Zip
29579-3276
Phone Number
908-447-2913
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
14749 (South Carolina)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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