Individual provider Active NPI

Thomas Charles Caughlan, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1124344205
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.00001992 Issued in 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
Last updated
Apr 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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 CSW.00001992 CO Primary

Addresses

Primary practice location

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

Mailing address

PO Box 911057
Denver, CO 80291-1057
Phone (888) 269-7001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20111221000699 CO Practitioner - Clinical Social Worker 2163698176 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.00001992COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Colorado Clinical CurrentSince Mar 23, 2023 Accepting new patients
Regents of the University of Colorado Current Accepting new patients
The Regents of the University of Colorado CurrentSince Mar 23, 2023 Accepting new patients

Locations

4863 N Nevada Ave
Ste 380
Colorado Springs, CO 80918
Phone (719) 255-8001

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.