Mr Kenneth Thomas Cappuccio, LCSW | |
2195 Haystack Way, Myrtle Beach, SC 29579-3276 | |
(908) 447-2913 | |
Not Available |
Full Name | Mr Kenneth Thomas Cappuccio |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 29 Years |
Location | 2195 Haystack Way, Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073674776 | NPI | - | NPPES |
274527 | Other | MHN | |
5907728 | Other | AETNA | |
465949000 | Other | MAGELLAN ICE | |
477445 | Other | VALUE OPTIONS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 14749 (South Carolina) | Primary |
1041C0700X | Social Worker - Clinical | 44SC04533100 (New Jersey) | Secondary |
Entity Name | Kenneth T Cappuccio Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023295367 PECOS PAC ID: 3577693522 Enrollment ID: O20220304000889 |
Mailing Address | Practice Location Address |
---|---|
Mr Kenneth Thomas Cappuccio, LCSW 2195 Haystack Way, Myrtle Beach, SC 29579-3276 Ph: (908) 447-2913 | Mr Kenneth Thomas Cappuccio, LCSW 2195 Haystack Way, Myrtle Beach, SC 29579-3276 Ph: (908) 447-2913 |
Marcy Ann Cates, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1101 Johnson Ave Ste 204, Myrtle Beach, SC 29577 Phone: 843-477-0177 | |
Mr. Phillip Fleckenstein, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6215 Highway 707, Myrtle Beach, SC 29588 Phone: 843-273-0077 Fax: 843-273-0075 | |
Ms. Tracy L. Freeman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5020 Vinesia Dr, Myrtle Beach, SC 29579 Phone: 860-620-7197 | |
Mr. John Anthony Roman Ii, LISW-CP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 917 Broadway St Ste 3, Myrtle Beach, SC 29577 Phone: 843-582-7887 Fax: 843-800-0061 | |
Lynn Ann Repasky, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Johnson Ave # 134d, Myrtle Beach, SC 29577 Phone: 843-232-2435 | |
David Thomas Lane, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1101 Johnson Ave, Myrtle Beach, SC 29577 Phone: 843-457-2122 |