DR. JAN MARIE CAPACCIOLI (NPI# 1992931265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992931265 |
| Entity Type | Individual |
| Full Name | DR. JAN MARIE CAPACCIOLI |
| Credential | LCSW, LAADC, BCD |
| Practice Address |
1550 E Main St Santa Maria CA 93454-4819 |
| Mailing Address |
350 Siler Ln P.o. Box 7046 Santa Maria CA 93455-3133 |
| Practice Telephone | 8053546000 |
| Mailing Telephone | 8056232203 |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2017-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCI02970315 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 27145 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1550 E MAIN ST |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891745600 | Patricia Roberts | Audiologist | 1550 E Main St, Santa Maria, CA 93454-4819 | 2006-05-11 |
| 1750824827 | Jessica Pieczynski | Psychologist | 1550 E Main St, Santa Maria, CA 93454-4819 | 2016-11-22 |
| 1346694908 | Danielle Jane Elzik | Social Worker | 1550 E Main St, Santa Maria, CA 93454-4819 | 2016-04-20 |
| 1538402409 | Elvira De Francia Dela Pena | Nurse Practitioner | 1550 E Main St, Santa Maria, CA 93454-4819 | 2013-03-29 |
| 1235445420 | Ioana Blanca Cebulla | Psychologist | 1550 E Main St, Santa Maria, CA 93454-4819 | 2010-08-25 |
| 1427291079 | Joshua Robert Greco | Psychologist | 1550 E Main St, Santa Maria, CA 93454-4819 | 2009-04-13 |
| 1003000837 | Richard L John Jr. | Nurse Practitioner | 1550 E Main St, Mental Health, Santa Maria, CA 93454-4819 | 2007-09-05 |
| 1336242254 | Krista M Martin | Optometrist | 1550 E Main St, Santa Maria, CA 93454-4819 | 2006-09-06 |
| 1154351195 | Mary Jane Fabic Morash | Family Medicine | 1550 E Main St, Santa Maria, CA 93454-4819 | 2006-07-04 |
| 1689625378 | Karen Miho Sugiura | Audiologist | 1550 E Main St, Audiology, Santa Maria, CA 93454-4819 | 2006-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
| 1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
| 1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| Find all providers in zip 93454 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326462326 | Janet Ann Korpela | Social Worker | 722 E Tunnell St, Santa Maria, CA 93454-4152 | 2014-02-11 |
| 1912028481 | Michelle Lynn Matoff | Social Worker | 301 E Cook St Ste B2, Santa Maria, CA 93454-5100 | 2007-04-03 |
| 1043334113 | John Muzzy Crowl | Social Worker | 1550 Main St, Santa Maria, CA 93458 | 2007-03-16 |
| 1629149463 | Greta Ann Pankratz | Social Worker | 235 W Clark Ave, Suite C, Santa Maria, CA 93455-4622 | 2006-11-13 |
| 1336232115 | Karen Angela Lake-shampain | Social Worker | 301 East Cook Street, Suite B2, Santa Maria, CA 93454 | 2006-10-02 |
| 1407865405 | Brooks Cook | Social Worker | 324 Suey Rd, Santa Maria, CA 93454-3402 | 2006-08-07 |
| 1447804133 | Ada E Gonzales, Lcsw Inc | Social Worker | 1145 E Clark Ave Ste K, Santa Maria, CA 93455-5173 | 2019-07-31 |
| 1477039014 | Rebecca Mae Solomon | Social Worker | 2615 S Miller St Ste 106, Santa Maria, CA 93455-1775 | 2018-07-17 |
| 1154836013 | Karina Valle, Lcsw Inc. | Social Worker | 218 Carmen Ln Ste 108, Santa Maria, CA 93458-7773 | 2017-12-13 |
| 1619486529 | Carlos Guerrero | Social Worker | 430 S Blosser Rd, Santa Maria, CA 93458-4908 | 2017-09-22 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.