Dr. Jan Marie Capaccioli, LCSW, LAADC, BCD
Social Worker, Clinical in Santa Maria, CA. Individual provider (NPI-1).
NPI number1992931265
StatusActive
Last updated in NPPESMar 9, 2017
Details
- NPI
- 1992931265
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jan Marie Capaccioli
- Credential
- LCSW, LAADC, BCD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2009
- Last updated
- Mar 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCS 27145 | CA | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | LCi02970315 | CA |
Practice location
1550 E Main StSanta Maria, CA 93454-4819
Phone 805-354-6000
Mailing address
350 Siler LnP.O. Box 7046
Santa Maria, CA 93455-3133
Phone 805-623-2203
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