Individual provider Active NPI

Caitlin Blackmer Sturr, MSW

  • Clinical Social Worker
  • Muskegon, MI
National Provider Identifier
1437891900
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801114991 Issued in MI
Practice address
1223 Mercy Dr
Muskegon, MI 49444-1829
Phone
(231) 672-7307
Fax
(231) 672-3178
NPI assigned
Apr 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 6801114991 MI Primary

Addresses

Primary practice location

1223 Mercy Dr
Muskegon, MI 49444-1829

Mailing address

PO Box 776982
Chicago, IL 60677-6982
Phone (231) 672-2119

Other identifiers 1

IdentifierTypeStateIssuer
1437891900MedicaidMI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cblackmer905425@direct.trinity-health.org Direct
Direct Messaging Address cblackmer905425@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: cblackmer905425@direct.trinity-health.org

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437891900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776982",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776982",
            "telephone_number": "231-672-2119",
            "fax_number": "313-432-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 MERCY DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441829",
            "telephone_number": "231-672-7307",
            "fax_number": "231-672-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURR",
        "first_name": "CAITLIN",
        "middle_name": "BLACKMER",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437891900",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cblackmer905425@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Westshore family medicine direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1223 Mercy Dr",
            "city": "Muskegon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494441829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cblackmer905425@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Trinity Health West Shore Family Medicine Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1223 Mercy Dr",
            "city": "Muskegon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494441829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.