NPI Code Detail JSON Logo

1417354739 NPI number — KENDRA CAPALBO LICSW

NPI Number: 1417354739
Health Care Provider/Practitioner: KENDRA CAPALBO LICSW

Information about “1417354739” NPI (KENDRA CAPALBO LICSW) exists in 1417354739 in HTML format HTML  |  1417354739 in plain Text format TXT  |  1417354739 in PDF (Portable Document Format) PDF  |  1417354739 in an XML format XML  formats.

NPI Number : 1417354739 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417354739",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CAPALBO",
    "FirstName": "KENDRA",
    "MiddleName": null,
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "LICSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "867 BOYLSTON STREET",
    "SecondLineMailingAddress": "5TH FLOOR #1151",
    "MailingAddressCityName": "BOSTON",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02116",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "774-219-0943",
    "MailingAddressFaxNumber": "401-633-7396",
    "FirstLinePracticeLocationAddress": "294 SILVER SPRINGS DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HIGGANUM",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06441-4264",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "774-219-0943",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/02/2014",
    "LastUpdateDate": "10/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "122294",
        "LicenseNumberStateCode": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.