Healthcare Provider Details

I. General information

NPI: 1386142289
Provider Name (Legal Business Name): MICHELLE CAPUANO LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2018
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 PARTITION ST STE 235
SAUGERTIES NY
12477-1313
US

IV. Provider business mailing address

32 PARTITION ST STE 235
SAUGERTIES NY
12477-1313
US

V. Phone/Fax

Practice location:
  • Phone: 518-444-2801
  • Fax:
Mailing address:
  • Phone: 518-444-2801
  • Fax: 518-741-2501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number092140-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: