Individual provider Active NPI

Christine M Caputo, LCSW

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1578756029
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0000841 Issued in DE
Practice address
2 Mill Rd Ste 106
Wilmington, DE 19806-2175
Phone
(302) 295-1088
Fax
(855) 871-8293
NPI assigned
Aug 18, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0000841 DE Primary

Addresses

Primary practice location

2 Mill Rd Ste 106
Wilmington, DE 19806-2175

Mailing address

2 Mill Rd Ste 106
Wilmington, DE 19806-2175
Phone (302) 295-1088

Other identifiers 1

IdentifierTypeStateIssuer
1578756029MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080428000654 DE Practitioner - Clinical Social Worker 1557449766 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0000841DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Broudy CurrentSince Oct 20, 2024 Accepting new patients
Alapocas Collaborative Care, LLC PastSince Feb 16, 2020 Accepting new patients

Locations

825 N Washington St
Wilmington, DE 19801
Phone (302) 655-7110

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578756029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MILL RD STE 106",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198062175",
            "telephone_number": "302-295-1088",
            "fax_number": "855-871-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MILL RD STE 106",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198062175",
            "telephone_number": "302-295-1088",
            "fax_number": "855-871-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUTO",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-18",
        "last_updated": "2022-07-21",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578756029",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.