Healthcare Provider Details

I. General information

NPI: 1760604367
Provider Name (Legal Business Name): GENEVIEVE BRINK-CAPRIOLA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 ILAHEE LN STE 150
CHICO CA
95973-7205
US

IV. Provider business mailing address

128 ZINNIA WAY
CHICO CA
95926-5201
US

V. Phone/Fax

Practice location:
  • Phone: 530-876-3174
  • Fax: 530-876-2183
Mailing address:
  • Phone: 530-680-6923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS 15642
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: