Jeanette M Cappuccilli, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0278801 Issued in NY

Practice address

520 Cedar St
Ocdmh Day Treatment Program for Children
Syracuse, NY 13210-2302

Phone

(315) 435-7762

Fax

(315) 435-7715

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jeanette M Degar Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Onondaga County Department of Mental Health

  • Adolescent and Children Mental Health Clinic/Center
  • Syracuse, NY
  • NPI 1912179292
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821179839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LANCELOT LN",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311938",
            "telephone_number": "315-435-7762",
            "fax_number": "315-435-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 CEDAR ST",
            "address_2": "OCDMH DAY TREATMENT PROGRAM FOR CHILDREN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102302",
            "telephone_number": "315-435-7762",
            "fax_number": "315-435-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPUCCILLI",
        "first_name": "JEANETTE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0278801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETTE",
            "last_name": "DEGAR",
            "middle_name": "M",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Capital Trans US LLC
• Joseph Daniel Capogreco, MD
• Jerry Caporaso Jr., MD
• Paul Capozza
• Elizabeth M Cappelletti-Walker, PA
• Sophia Moxi Teresa Capri, LMSW
• Elsa M.L. Capria, FNP
• Dante Michael Capriotti, MD
• Irene R Capron, PA
• James Richard Caputo, M.D.

• Clinical Social Worker in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.