Caitlin Early Greenberg, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

75250 Issued in CA

Practice address

411 4TH St Ste a
San Rafael, CA 94901-5716

Phone

(415) 448-1500

NPI assigned

May 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Caitlin Janelle Early Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Marin Community Clinic

  • Federally Qualified Health Center (FQHC)
  • San Rafael, CA
  • NPI 1508514902
  NPD (past)
• Marin Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Larkspur, CA
  • NPI 1881057115
  NPD (past)
• Marin Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Novato, CA
  • NPI 1912091018
  NPD (past)

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1366934937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 COMMERCIAL BLVD STE 100",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949496137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 4TH ST STE A",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015716",
            "telephone_number": "415-448-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "CAITLIN",
        "middle_name": "EARLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "75250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "EARLY",
            "middle_name": "JANELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Delia Gray, LMFT
• Frank L Gray Jr.
• Aneesah Grayson
• Jennifer Grayzar, M.D.
• Kyla Diane Green, LMFT
• Joseph H Greenberg, MD
• Cailin Greenburg, AMFT
• Catherine Greene
• Judy Diane Greenwald, NP RN
• Meghan Melissa Greenwood

• Clinical Social Worker in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.