Healthcare Provider Details

I. General information

NPI: 1285495309
Provider Name (Legal Business Name): LEAH CAPPARELLI MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEAH TSUKAMOTO CAPPARELLI MSW, LCSW

II. Dates (important events)

Enumeration Date: 01/16/2024
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CUMMINGS CTR STE 534G
BEVERLY MA
01915-6239
US

IV. Provider business mailing address

107 FEDERAL ST STE 4
SALEM MA
01970-3580
US

V. Phone/Fax

Practice location:
  • Phone: 978-548-6288
  • Fax:
Mailing address:
  • Phone: 508-243-5714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW2120914
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: