Cailin Lebarron, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088630 Issued in NY

Practice address

347 Center Cambridge Rd
Valley Falls, NY 12185-2238

Phone

(518) 808-3779

NPI assigned

Mar 16, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Cailin Timmins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bloom Counseling LCSW, PLLC

  • Clinical Social Worker
  • Valley Falls, NY
  • NPI 1164213914

  Clinical

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1316308489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 CENTER CAMBRIDGE RD",
            "city": "VALLEY FALLS",
            "state": "NY",
            "postal_code": "121852238",
            "telephone_number": "518-808-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 CENTER CAMBRIDGE RD",
            "city": "VALLEY FALLS",
            "state": "NY",
            "postal_code": "121852238",
            "telephone_number": "518-808-3779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Lower Main St",
            "address_purpose": "LOCATION",
            "city": "Hudson Falls",
            "state": "NY",
            "postal_code": "128392686",
            "country_code": "US",
            "telephone_number": "518-747-0756",
            "fax_number": "518-747-0734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 Main St",
            "address_purpose": "LOCATION",
            "city": "Hudson Falls",
            "state": "NY",
            "postal_code": "128392213",
            "country_code": "US",
            "telephone_number": "518-747-7547",
            "fax_number": "518-747-8806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBARRON",
        "first_name": "CAILIN",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097347",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAILIN",
            "last_name": "TIMMINS",
            "credential": "LCSW-R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bloom Counseling LCSW, PLLC
• Robin Connolly, FNP
• Vanesa Elizabeth Samos, FNP

• All providers in Valley Falls, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.