Active NPI
Caitlin Pirtle, LCSW
- Clinical Social Worker
- Henderson, KY
National Provider Identifier
1285486209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 258995
- Practice address
- 230 2ND St Ste 406
Henderson, KY 42420-3174 - Phone
- (270) 854-3132
- Fax
- (855) 718-2663
- NPI assigned
- Apr 3, 2024
- 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 | 258995 | KY | Primary |
Addresses
Primary practice location
230 2ND St Ste 406
Henderson, KY 42420-3174
Mailing address
230 2ND St Ste 406
Henderson, KY 42420-3174
Phone (270) 854-3132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 258995 | Other | KY | KENTUCKY BOARD OF SOCIAL WORK LCSW |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258995 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stability Counseling and Associates LLC | Clinical | Current | Accepting new patients |
Locations
230 2nd St
Ste 406
Henderson, KY 42420
Phone (270) 826-8761
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Henderson, KY
- NPI 1689170938
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1285486209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 2ND ST STE 406",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424203174",
"telephone_number": "270-854-3132",
"fax_number": "855-718-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 2ND ST STE 406",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424203174",
"telephone_number": "270-854-3132",
"fax_number": "855-718-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIRTLE",
"first_name": "CAITLIN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-03",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "258995",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BOARD OF SOCIAL WORK LCSW",
"identifier": "258995",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.