Healthcare Provider Details

I. General information

NPI: 1982955134
Provider Name (Legal Business Name): VALERIE A CAPALBO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2012
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2830 GRAND ISLE WAY SW
VERO BEACH FL
32968-6716
US

IV. Provider business mailing address

2830 GRAND ISLE WAY SW
VERO BEACH FL
32968-6716
US

V. Phone/Fax

Practice location:
  • Phone: 845-661-3859
  • Fax:
Mailing address:
  • Phone: 845-661-3859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number086957-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: