Individual provider Active NPI

Caitlin Shapiro, LCSW, LCSW-C

  • Clinical Social Worker
  • Ijamsville, MD
National Provider Identifier
1295255230
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26813 Issued in MD
Practice address
2502 Urbana Pike
Ijamsville, MD 21754-8602
Phone
(240) 415-8893
NPI assigned
Jun 21, 2017
Last updated
Jun 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0952781 NY
Clinical Social Worker 1041C0700X 088833 NY
Clinical Social Worker 1041C0700X 26813 MD Primary

Addresses

Primary practice location

2502 Urbana Pike
Ijamsville, MD 21754-8602

Mailing address

5970 Frederick Crossing LN
Frederick, MD 21704-5165
Phone (240) 415-8893

Other practice location 1

21 Bloomingdale Rd
White Plains, NY 10605-1504
Phone (314) 337-5805

Other names 1

  • Caitlin Slaybaugh Former name

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

LicenseStateTypeSpecialty
0952781NYMDSocial Worker
26813MDMDClinical Social Worker
088833NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Psychotherapy LLC Clinical PastSince Sep 4, 2022 Accepting new patients

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, 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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1295255230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5970 FREDERICK CROSSING LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045165",
            "telephone_number": "240-415-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 URBANA PIKE",
            "city": "IJAMSVILLE",
            "state": "MD",
            "postal_code": "217548602",
            "telephone_number": "240-415-8893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Bloomingdale Rd",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106051504",
            "country_code": "US",
            "telephone_number": "314-337-5805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "CAITLIN",
        "name_prefix": "Ms.",
        "credential": "LCSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0952781",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088833",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "26813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "SLAYBAUGH",
            "credential": "LMSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ijamsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.