Healthcare Provider Details

I. General information

NPI: 1972909737
Provider Name (Legal Business Name): ROBIN A CAPPER LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBIN A CAPPER

II. Dates (important events)

Enumeration Date: 11/06/2014
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3226 WAYNESBURG DR SE
CANTON OH
44707-1829
US

IV. Provider business mailing address

3226 WAYNESBURG DR SE
CANTON OH
44707-1829
US

V. Phone/Fax

Practice location:
  • Phone: 330-309-7121
  • Fax:
Mailing address:
  • Phone: 330-309-7121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.0030680
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: