Active NPI
Caitlin Garstkiewicz, LCSW, PLLC
- Clinical Social Worker
- Champaign, IL
National Provider Identifier
1346014180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CAITLIN GARSTKIEWICZ, LCSW, PLLC
- Practice address
- 2166 Harbortown Cir
Champaign, IL 61821-6481 - Phone
- (815) 216-0135
- NPI assigned
- Nov 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Caitlin Garstkiewicz, LCSW
- Title
- Owner/LCSW
- Phone
- (815) 216-0135
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Local Education Agency (LEA) | 251300000X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
2166 Harbortown Cir
Champaign, IL 61821-6481
Mailing address
2166 Harbortown Cir
Champaign, IL 61821-6481
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1417414244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699833600000",
"number": "1346014180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2166 HARBORTOWN CIR",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618216481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2166 HARBORTOWN CIR",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618216481",
"telephone_number": "815-216-0135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAITLIN GARSTKIEWICZ, LCSW, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A",
"authorized_official_last_name": "GARSTKIEWICZ",
"authorized_official_first_name": "CAITLIN",
"authorized_official_title_or_position": "OWNER/LCSW",
"authorized_official_telephone_number": "815-216-0135",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.