KENNETH T CAPPUCCIO LLC
NPI 1023295367
Social Worker - Clinical in Myrtle Beach, SC

Active since January 29, 2008
2195 HAYSTACK WAY, MYRTLE BEACH, SC 29579(908) 447-2913 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenneth T Cappuccio Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH T CAPPUCCIO LLC (NPI 1023295367) is a healthcare organization registered as a clinical in Myrtle Beach, South Carolina and active in the NPI registry since January 2008. The organization lists Kenneth Thomas Cappuccio, President, as its authorized official.Information from the official NPPES registry record, last updated September 27, 2022.

NPPES Registry Identity

NPI1023295367
Entity TypeOrganization
Legal Business NameKENNETH T CAPPUCCIO LLC
Location Address2195 HAYSTACK WAYMyrtle Beach, SC 29579-3276
Mailing Address2195 Haystack WayMyrtle Beach, SC 29579-3276 · (908) 447-2913
Organization SubpartNo
Authorized OfficialKenneth Thomas CappuccioPresident · (908) 447-2913
Enumeration DateJanuary 29, 2008
Last NPPES UpdateSeptember 27, 2022
NPPES CertifiedSeptember 27, 2022
NPI 1023295367 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Social Worker · Clinical

Taxonomy 1041C0700X · Behavioral Health & Social Service Providers

Licensed in NJ · 44SC04533100

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… Show more

2195 HAYSTACK WAY, Myrtle Beach, SC 29579

Also on File with NPPES

Group Practice1
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization. (193400000X SINGLE SPECIALTY GROUP)

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Social Worker (Clinical)
2195 HAYSTACK WAY
MYRTLE BEACH, SC 29579

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023295367, enumerated as an "organization" on January 29, 2008.

The provider is located at 2195 HAYSTACK WAY MYRTLE BEACH, SC 29579 and the phone number is (908) 447-2913.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina. Please consult your insurance carrier or call the provider to verify.