Thomas Charles Caughlan, LCSW

Key facts

NPI

1124344205

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

CSW.00001992 (CO)

Practice address

2925 Professional PL Ste 101
Colorado Springs, CO 80904-8125

Phone

(719) 776-6850

Fax

(719) 776-6855

NPI assigned

Apr 14, 2010

Sex

Male

Sole proprietor

No

Organizations & group practices 3

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.

• Regents of the University of Colorado Nurse Practitioner · Colorado Springs, CO · NPI 1801226048
  Medicare reassignment NPD CO
• Regents of the University of Colorado Clinical Psychologist · Colorado Springs, CO · NPI 1295392868
  NPD CLINICAL
• The Regents of the University of Colorado Federally Qualified Health Center (FQHC) · Denver, CO · NPI 1982425674
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8241/brand/1/csg/1/fhir/r4

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 30, 2018.

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1124344205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911057",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802911057",
            "telephone_number": "888-269-7001",
            "fax_number": "303-764-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 PROFESSIONAL PL STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809048125",
            "telephone_number": "719-776-6850",
            "fax_number": "719-776-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUGHLAN",
        "first_name": "THOMAS",
        "middle_name": "CHARLES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-14",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.00001992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Colorado Springs, CO · Clinical Social Worker in Colorado