Active NPI
Caitlin Sulfridge, LMSW
- Social Worker
- Monroe, MI
National Provider Identifier
1194196261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801093725
- Practice address
- 650 Stewart Rd
Monroe, MI 48162-4222 - Phone
- (734) 240-8430
- Fax
- (734) 240-8495
- NPI assigned
- Oct 14, 2015
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Social Worker | 104100000X | 6801093725 | MI | Primary |
Addresses
Primary practice location
650 Stewart Rd
Monroe, MI 48162-4222
Mailing address
1 Seagate Ste 800
Toledo, OH 43604-1558
Phone (734) 240-8430
Other practice location 1
9249 W Lake City Rd
Houghton Lake, MI 48629-9602
Phone (989) 422-5122
Other practice location 2
4580 Montmorency St
Lewiston, MI 49756-7862
Phone (989) 786-2253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154661056 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801093725 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1194196261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SEAGATE STE 800",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041558",
"telephone_number": "734-240-8430",
"fax_number": "734-240-8495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 STEWART RD",
"city": "MONROE",
"state": "MI",
"postal_code": "481624222",
"telephone_number": "734-240-8430",
"fax_number": "734-240-8495"
}
],
"practiceLocations": [
{
"address_1": "9249 W Lake City Rd",
"address_purpose": "LOCATION",
"city": "Houghton Lake",
"state": "MI",
"postal_code": "486299602",
"country_code": "US",
"telephone_number": "989-422-5122",
"fax_number": "989-422-4378",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4580 Montmorency St",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "MI",
"postal_code": "497567862",
"country_code": "US",
"telephone_number": "989-786-2253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULFRIDGE",
"first_name": "CAITLIN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-14",
"last_updated": "2022-07-21",
"certification_date": "2020-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801093725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154661056",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.