{"npi":"1023295367","type":"NPI-2","status":"active","name":{"display":"Kenneth T Cappuccio LLC","other":[],"organization_name":"KENNETH T CAPPUCCIO LLC","authorised_official":"Kenneth Cappuccio"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"NJ","license":"44SC04533100"}]},"addresses":[{"purpose":"LOCATION","street_1":"2195 HAYSTACK WAY","city":"MYRTLE BEACH","state":"SC","postal_code":"295793276","country_code":"US","phone":"9084472913"},{"purpose":"MAILING","street_1":"2195 HAYSTACK WAY","city":"MYRTLE BEACH","state":"SC","postal_code":"295793276","country_code":"US","phone":"9084472913"}],"license":{"state":"NJ","number":"44SC04533100"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20220304000889","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"SC","pac_id":"3577693522"}]},"enumeration_date":"2008-01-29","last_updated":"2022-09-27","_meta":{"source":"NPPES","snapshot_date":"2022-09-27","doc_url":"https://findmynpi.com/api"}}