Individual provider Active NPI

Caitlin Hantelman, LCSW

  • Clinical Social Worker
  • Westfield, IN
National Provider Identifier
1194573550
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007420A Issued in IN
Practice address
520 Abaccus LN
Westfield, IN 46074-7300
Phone
(317) 418-1518
NPI assigned
May 10, 2024
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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 34007420A IN Primary

Addresses

Primary practice location

520 Abaccus LN
Westfield, IN 46074-7300

Mailing address

520 Abaccus LN
Westfield, IN 46074-7300
Phone (317) 418-1518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20241002001125 IN Practitioner - Clinical Social Worker 2466983416 Reassigns benefits to 1 organization
I20260204002586 MI Practitioner - Clinical Social Worker 2466983416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3540 Pump Rd
Suite 1188
Richmond, VA 23233-1115

99 Wall St
Suite 158
New York, NY 10005-4301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holon Health Great Lakes, P.C. CurrentSince Jul 12, 2024 Accepting new patients
Holon Health, Inc. PastSince Jul 12, 2024 Accepting new patients

Locations

675 Justice Way
Indianapolis, IN 46203
Phone (317) 327-1700

675 Justice Way
Rm C49
Indianapolis, IN 46203
Phone (219) 798-3361

12555 Grand River Ave
Ste 100
Detroit, MI 48204

3540 Pump Rd
Richmond, VA 23233
Phone (804) 404-6270

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, 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": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1194573550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 ABACCUS LN",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460747300",
            "telephone_number": "317-418-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ABACCUS LN",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460747300",
            "telephone_number": "317-418-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANTELMAN",
        "first_name": "CAITLIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007420A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, IN

Sources for this page

Verify at the official NPI Registry.