Healthcare Provider Details

I. General information

NPI: 1174450506
Provider Name (Legal Business Name): KIMBERLEE CAPERNA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/10/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1785 ROUTE 9 STE 106
HALFMOON NY
12065-2449
US

IV. Provider business mailing address

177 COLONIAL AVE
SCHENECTADY NY
12304-4125
US

V. Phone/Fax

Practice location:
  • Phone: 888-454-3827
  • Fax: 888-454-3827
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number129353
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: