Individual provider Active NPI

Caitlin Fitzpatrick

  • Clinical Social Worker
  • Newark, DE
National Provider Identifier
1003472523
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001563 Issued in DE
Practice address
910 S Chapel St Ste 102
Newark, DE 19713-3468
Phone
(302) 224-1400
NPI assigned
May 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0001563 DE Primary

Addresses

Primary practice location

910 S Chapel St Ste 102
Newark, DE 19713-3468

Mailing address

910 S Chapel St Ste And103
Newark, DE 19713-3467

Other identifiers 1

IdentifierTypeStateIssuer
1164993143OtherDESANDRA COOPER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240820003276 DE Practitioner - Clinical Social Worker 5991243057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Atlantic Behavioral Health, LLCGroup PAC ID 3375620016, 88 clinicians

Practice addresses (Care Compare)

910 S Chapel St
Suite 102
Newark, DE 19713-3468
Phone (302) 224-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Behavioral Health, LLC CurrentSince Oct 7, 2024 Accepting new patients
NPI 1164993143 Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

650 Naamans Rd
Ste 110
Claymont, DE 19703
Phone (302) 217-3884

24077 Country Living Rd
Ste 2
Millsboro, DE 19966
Phone (302) 772-5132

100 W Commons Blvd
Ste 301
New Castle, DE 19720
Phone (302) 428-0205

910 S Chapel St
Ste 102
Newark, DE 19713
Phone 3022241400 ext. 614

100 Commerce Dr
Ste 100
Newark, DE 19713
Phone (302) 575-8240

Networks

  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1003472523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S CHAPEL ST STE AND103",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S CHAPEL ST STE 102",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133468",
            "telephone_number": "302-224-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "CAITLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANDRA COOPER",
            "identifier": "1164993143",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.