Active NPI
Kim M Capone, LMSW
- Social Worker
- Far Rockaway, NY
National Provider Identifier
1205071990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 72065744
- Practice address
- 327 Beach 19TH Street
St. John'S Episcopal Hospital
Far Rockaway, NY 11691 - Phone
- (718) 869-7000
- NPI assigned
- Dec 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 72065744 | NY | Primary |
Addresses
Primary practice location
327 Beach 19TH Street
St. John'S Episcopal Hospital
Far Rockaway, NY 11691
Mailing address
327 Beach 19TH Street
St. John'S Episcopal Hospital
Far Rockaway, NY 11691
Phone (718) 869-7000
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72065744 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228780800000",
"number": "1205071990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 BEACH 19TH STREET",
"address_2": "ST. JOHN'S EPISCOPAL HOSPITAL",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "11691",
"telephone_number": "718-869-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 BEACH 19TH STREET",
"address_2": "ST. JOHN'S EPISCOPAL HOSPITAL",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "11691",
"telephone_number": "718-869-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPONE",
"first_name": "KIM",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-09",
"last_updated": "2008-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "72065744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.