Organization Active NPI

Caitlin Gentilini, LCSW

  • Clinical Social Worker
  • Portland, ME
National Provider Identifier
1558828244
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CAITLIN GENTILINI, LCSW
Practice address
57 Exchange St Ste 402
Portland, ME 04101-5050
Phone
(919) 609-1268
NPI assigned
Feb 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Caitlin H Gentilini, LCSW
Title
Owner of Practice
Phone
(919) 609-1268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

57 Exchange St Ste 402
Portland, ME 04101-5050

Mailing address

1 Running Tide Rd
Cape Elizabeth, ME 04107-2933

National Provider Directory

National Provider Directory

Locations

57 Exchange St
Ste 402
Portland, ME 04101
Phone (207) 233-5307

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": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1558828244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RUNNING TIDE RD",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041072933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 EXCHANGE ST STE 402",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015050",
            "telephone_number": "919-609-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAITLIN GENTILINI, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "GENTILINI",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER OF PRACTICE",
        "authorized_official_telephone_number": "919-609-1268",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.