Healthcare Provider Details

I. General information

NPI: 1194220756
Provider Name (Legal Business Name): DANIELLE CAPOZZIELLO LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2018
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 CLIFF STREET
NORTH WEYMOUTH MA
02191-2205
US

IV. Provider business mailing address

19 CLIFF STREET
NORTH WEYMOUTH MA
02191-2205
US

V. Phone/Fax

Practice location:
  • Phone: 203-308-1670
  • Fax: 351-529-6024
Mailing address:
  • Phone: 203-308-1670
  • Fax: 351-529-6024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12068
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: