Virginia J Caputy, LCSW

Individual provider Active NPI Clinical Social Worker · Mexico, MO

NPI 1154327641 · NPPES record last updated Feb 23, 2009

Key facts

NPI
1154327641
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
2001015393 (MO)
Practice address
321 W Promenade St
Mexico, MO 65265
Phone
(573) 582-1234
Fax
(573) 582-1212
NPI assigned
Jun 21, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2001015393MOMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2001015393 MO Yes

Addresses

Primary practice location

321 W Promenade St
Mexico, MO 65265

Mailing address

321 W Promenade St
Mexico, MO 65265
Phone (573) 582-1234

Other identifiers

IdentifierTypeStateIssuer
495358301MedicaidMO

Other names

  • Virginia J Climan Former name

Other providers in Mexico, MO

All providers in Mexico, MO · Clinical Social Worker in Missouri

Sources for this page

Verify at the official NPI Registry.