Healthcare Provider Details

I. General information

NPI: 1831255785
Provider Name (Legal Business Name): KAREN L CAPRARO LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 08/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LONGWOOD AVE
BOSTON MA
02115-5724
US

IV. Provider business mailing address

28 CHURCH ST SUITE 7
WINCHESTER MA
01890-2500
US

V. Phone/Fax

Practice location:
  • Phone: 617-355-6680
  • Fax: 617-730-0319
Mailing address:
  • Phone: 781-223-3120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number113277
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number113277
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: