Provider Demographics
NPI:1578302907
Name:CINDY L CAPRETZ A LICENSED CLINICAL SOCIAL WORKER INC
Entity type:Organization
Organization Name:CINDY L CAPRETZ A LICENSED CLINICAL SOCIAL WORKER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:CAPRETZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:949-689-3604
Mailing Address - Street 1:57 SEA PINE LN
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-5137
Mailing Address - Country:US
Mailing Address - Phone:949-689-3604
Mailing Address - Fax:
Practice Address - Street 1:57 SEA PINE LN
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-5137
Practice Address - Country:US
Practice Address - Phone:949-689-3604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-24
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty