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

Individual provider Clinical Social Worker · NPI 1073674776

Mr. Kenneth Thomas Cappuccio, LCSW is a Clinical Social Worker in Myrtle Beach, South Carolina. Qualified in 1995, 31 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and South Carolina.

Years since qualifying
31
Licensed in
NJ, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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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 14749 (SC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 44SC04533100 (NJ)

Record details

NPI number1073674776
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 13, 2006
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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