Active NPI
Caitlin Christian
- Clinical Social Worker
- Miami, FL
National Provider Identifier
1174209605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW21219
- Practice address
- 25 SE 2ND Ave,
Ste 550 PMB 57
Miami, FL 33131 - Phone
- (727) 201-2044
- NPI assigned
- Jun 27, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW21219 | FL | Primary |
Addresses
Primary practice location
25 SE 2ND Ave,
Ste 550 PMB 57
Miami, FL 33131
Mailing address
2362 Walton Cir Apt O6
Palm Harbor, FL 34683-5131
Phone (727) 400-5925
Other practice location 1
2362 Walton Cir Apt O6
Palm Harbor, FL 34683-5131
Phone (727) 400-5925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251120000062 | FL | Practitioner - Clinical Social Worker | 0840782603 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7756 N Kendall Dr
Suite 465
Miami, FL 33156-7523
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW21219 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Associates Network LLC | Current | Accepting new patients | |
| Grace Street Counseling | Clinical | Past | Accepting new patients |
Locations
1001 N Federal Hwy
Ste 325
Hallandale Beach, FL 33009
Phone (754) 752-8280
7742 N Kendall Dr
Miami, FL 33156
Phone (305) 274-2403
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1174209605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2362 WALTON CIR APT O6",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346835131",
"telephone_number": "727-400-5925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 SE 2ND AVE,",
"address_2": "STE 550 PMB 57",
"city": "MIAMI",
"state": "FL",
"postal_code": "33131",
"telephone_number": "727-201-2044"
}
],
"practiceLocations": [
{
"address_1": "2362 Walton Cir Apt O6",
"address_purpose": "LOCATION",
"city": "Palm Harbor",
"state": "FL",
"postal_code": "346835131",
"country_code": "US",
"telephone_number": "727-400-5925",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHRISTIAN",
"first_name": "CAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-27",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW21219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.