Individual provider Active NPI

Kimberly Elizabeth Capriotti, LMSW

  • School Social Worker
  • North Tonawanda, NY
National Provider Identifier
1780967174
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
58564 Issued in NY
Practice address
195 Spruce St
North Tonawanda, NY 14120-5664
Phone
(716) 807-3850
Fax
(716) 807-3858
NPI assigned
Sep 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 58564 NY Primary

Addresses

Primary practice location

195 Spruce St
North Tonawanda, NY 14120-5664

Mailing address

195 Spruce St
North Tonawanda, NY 14120-5664
Phone (716) 807-3850

Other identifiers 1

IdentifierTypeStateIssuer
01377162MedicaidNY

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

LicenseStateTypeSpecialty
58564NYMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1780967174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 SPRUCE ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141205664",
            "telephone_number": "716-807-3850",
            "fax_number": "716-807-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 SPRUCE ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141205664",
            "telephone_number": "716-807-3850",
            "fax_number": "716-807-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPRIOTTI",
        "first_name": "KIMBERLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "58564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01377162",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.