Active NPI
Caitlin Bell, LCSW
- Clinical Social Worker
- Palmer, AK
National Provider Identifier
1013454784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 173465
- Practice address
- 2480 S Woodworth Loop Ste 285
Palmer, AK 99645-7408 - Phone
- (907) 861-6035
- Fax
- (907) 861-6039
- NPI assigned
- Jan 19, 2017
- Last updated
- Dec 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 3371 | SD | |
| Clinical Social Worker | 1041C0700X | 173465 | AK | Primary |
Addresses
Primary practice location
2480 S Woodworth Loop Ste 285
Palmer, AK 99645-7408
Mailing address
319 Chickasaw Drive
Anniston, AL 36206
Phone (907) 223-6555
Other practice location 1
121 North St
Rapid City, SD 57701-1163
Phone (605) 391-4863
Other names 1
- Caitlin Wankowski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3371 | SD | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mat-Su Valley III LLC | Past | Accepting new patients | |
| Behavior Management Systems, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Palmer, AK
- NPI 1366752560
-
- Community/Behavioral Health Agency
- Rapid City, SD
- NPI 1295878122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1013454784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 CHICKASAW DRIVE",
"city": "ANNISTON",
"state": "AL",
"postal_code": "36206",
"telephone_number": "907-223-6555",
"fax_number": "605-343-7293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 S WOODWORTH LOOP STE 285",
"city": "PALMER",
"state": "AK",
"postal_code": "996457408",
"telephone_number": "907-861-6035",
"fax_number": "907-861-6039"
}
],
"practiceLocations": [
{
"address_1": "121 North St",
"address_purpose": "LOCATION",
"city": "Rapid City",
"state": "SD",
"postal_code": "577011163",
"country_code": "US",
"telephone_number": "605-391-4863",
"fax_number": "605-791-0434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELL",
"first_name": "CAITLIN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-19",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SD",
"license": "3371",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "173465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAITLIN",
"last_name": "WANKOWSKI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.