Individual
MS. ELLEN MARIE CAPONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
214 S BRADDOCK ST, WINCHESTER, VA 22601-4043
(540) 678-0807
(540) 678-0807
Mailing address
214 S BRADDOCK ST, WINCHESTER, VA 22601-4043
(540) 678-0807
(540) 678-0807
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904002375
VA
1041C0700X
Clinical Social Worker
0904002375
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085827
ANTHEM-TRIGON
—
01
—
088747
SENTARA-COMMUNITY HEALTH
—
Enumeration date
01/26/2007
Last updated
01/02/2008
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