Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth T Cappuccio LLC

Organization Clinical Social Worker · NPI 1023295367

Kenneth T Cappuccio LLC is a Clinical Social Worker in Myrtle Beach, South Carolina. Licensed in New Jersey. Registered with an NPI since 2008.

Licensed in
NJ
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2195 Haystack Way
Myrtle Beach, SC 29579-3276
Phone: (908) 447-2913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC04533100 (NJ)

Record details

NPI number1023295367
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Cappuccio — President · (908) 447-2913
NPI enumeratedJanuary 29, 2008
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022
Mailing address2195 Haystack Way, Myrtle Beach, SC 29579-3276

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