Organization Active NPI

Caitlin Garstkiewicz, LCSW, PLLC

  • Clinical Social Worker
  • Champaign, IL
National Provider Identifier
1346014180
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Caitlin Garstkiewicz, LCSWNPI 1417414244
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.