Provider Demographics
NPI:1366557084
Name:KAPES, DONNA R (LCSWR)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:R
Last Name:KAPES
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:
Other - Last Name:ROBILOTTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NY
Mailing Address - Zip Code:13323
Mailing Address - Country:US
Mailing Address - Phone:315-853-8716
Mailing Address - Fax:
Practice Address - Street 1:2 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NY
Practice Address - Zip Code:13323
Practice Address - Country:US
Practice Address - Phone:315-853-8716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0185031104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY54923BMedicare ID - Type Unspecified