Caylin Colleen Cedergren, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20267 Issued in MN

Practice address

45 Winnebago Cir
Saint Clair, MN 56080-7700

Phone

(507) 205-2720

Fax

(507) 205-9673

NPI assigned

Oct 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Caylin Colleen Schmidt Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA, MN, CO, OR4 enrollments

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 4

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, CO, MN, OR, WA

  Medicare reassignment NPD
• Wildwood Health and Wellness

  • Community/Behavioral Health Agency
  • Saint Clair, MN
  • NPI 1003587916
  NPD Authorized official

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1033684451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "city": "SAINT CLAIR",
            "state": "MN",
            "postal_code": "560800476",
            "telephone_number": "507-995-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WINNEBAGO CIR",
            "city": "SAINT CLAIR",
            "state": "MN",
            "postal_code": "560807700",
            "telephone_number": "507-205-2720",
            "fax_number": "507-205-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDERGREN",
        "first_name": "CAYLIN",
        "middle_name": "COLLEEN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "caylin@wildwoodhealthwellness.com",
            "affiliation": "Y",
            "endpointDescription": "Business email",
            "affiliationName": "Wildwood Health and Wellness",
            "address_1": "45 WINNEBAGO CIR",
            "city": "SAINT CLAIR",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560807700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAYLIN",
            "last_name": "SCHMIDT",
            "middle_name": "COLLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• St. Clair Isd #75
• Wildwood Health and Wellness

• All providers in Saint Clair, MN
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.

Verify at the official NPI Registry.