Individual provider Active NPI

Caitlin E Bergman, LICSW

  • Clinical Social Worker
  • Seattle, WA
National Provider Identifier
1376265199
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWI.LW.61558850 Issued in WA
Practice address
511 28TH Ave E
Seattle, WA 98112-4161
Phone
(801) 655-5450
Fax
(385) 225-9327
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWI.LW.61558850 WA Primary

Addresses

Primary practice location

511 28TH Ave E
Seattle, WA 98112-4161

Mailing address

1469 N 1200 W
Orem, UT 84057-2449
Phone (801) 655-5450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030002058 WA Practitioner - Clinical Social Worker 8022507979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadowbrook Counseling of Washington LLCGroup PAC ID 8022558717, 4 clinicians

Practice addresses (Care Compare)

511 28TH Ave E
Seattle, WA 98112-4161
Phone (801) 655-5450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWI.LW.61558850WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Have Heart Healing, PLLC CurrentSince Sep 25, 2022 Accepting new patients
Meadowbrook Counseling of Washington, LLC Clinical CurrentSince Sep 19, 2025 Accepting new patients
Meadowbrook Counseling of Utah LLC Clinical PastSince Sep 19, 2025 Accepting new patients

Locations

1469 N 1200 W
Orem, UT 84057
Phone (801) 210-1432

22232 17th Ave SE
Ste 305
Bothell, WA 98021

511 28th Ave E
Seattle, WA 98112
Phone (206) 323-3400

1820 12th Ave
Seattle, WA 98122
Phone (206) 324-6308

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1376265199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 N 1200 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572449",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 28TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124161",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "CAITLIN",
        "middle_name": "E",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWI.LW.61558850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.