Individual provider Active NPI

Alicia Wresinski Capraz, LCSW

  • Clinical Social Worker
  • Stillwater, OK
National Provider Identifier
1174923395
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
30980 Issued in MD
Practice address
1209 S Main St
Stillwater, OK 74074-5846
Phone
(405) 564-3408
NPI assigned
Aug 25, 2014
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X 6830 OK
Clinical Social Worker 1041C0700X 30980 MD Primary

Addresses

Primary practice location

1209 S Main St
Stillwater, OK 74074-5846

Mailing address

7533 Main St
Sykesville, MD 21784-7374
Phone (410) 970-6964

Other practice location 1

1510 W Ottawa Rd
Paxton, IL 60957-4090
Phone (217) 379-4302

Other practice location 2

7533 Main St
Sykesville, MD 21784-7374
Phone (410) 970-6964

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6830OKMDClinical Social Worker
30980MDMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1174923395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7533 MAIN ST",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217847374",
            "telephone_number": "410-970-6964",
            "fax_number": "410-970-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 S MAIN ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740745846",
            "telephone_number": "405-564-3408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 W Ottawa Rd",
            "address_purpose": "LOCATION",
            "city": "Paxton",
            "state": "IL",
            "postal_code": "609574090",
            "country_code": "US",
            "telephone_number": "217-379-4302",
            "fax_number": "217-379-4304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7533 Main St",
            "address_purpose": "LOCATION",
            "city": "Sykesville",
            "state": "MD",
            "postal_code": "217847374",
            "country_code": "US",
            "telephone_number": "410-970-6964",
            "fax_number": "410-970-6157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRESINSKI CAPRAZ",
        "first_name": "ALICIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "6830",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "30980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.