Individual provider Active NPI

Casidhe Caitlin Daniels, LCSW

  • Military Health Care Provider
  • Fort Sam Houston, TX
National Provider Identifier
1588329304
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Health Care ProviderTaxonomy code 171000000X
Practice address
3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-4501
Phone
(210) 916-4141
NPI assigned
Nov 5, 2021
Last updated
May 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC20946 ME
Clinical Social Worker 1041C0700X SW1824 FL
Military Health Care Provider 171000000X NU Primary

Addresses

Primary practice location

3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-4501

Mailing address

10 Cross St
Manchester, ME 04351-3420
Phone (619) 548-2212

Other names 1

  • Casidhe Caitlin Mock Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://npiregistry.cms.hhs.gov/registry/provider-view/1386008407 Direct Dept of Veteran Affairs
CONNECT URL https://npiregistry.cms.hhs.gov/provider-view/1194031583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW1824FLMDClinical Social Worker
LC20946MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical Industries Inc PastSince Nov 1, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1588329304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CROSS ST",
            "city": "MANCHESTER",
            "state": "ME",
            "postal_code": "043513420",
            "telephone_number": "619-548-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344501",
            "telephone_number": "210-916-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "CASIDHE",
        "middle_name": "CAITLIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC20946",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1824",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://npiregistry.cms.hhs.gov/registry/provider-view/1386008407",
            "affiliation": "Y",
            "endpointDescription": "Department of Veteran Affairs - Jacksonville, FL",
            "affiliationName": "Dept of Veteran Affairs",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6900 Southpoint Dr N",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322168007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://npiregistry.cms.hhs.gov/provider-view/1194031583",
            "affiliation": "N",
            "address_1": "3851 ROGER BROOKE DR.",
            "address_2": "BAMC-MCHEQD (CREDS)",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782344501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CASIDHE",
            "last_name": "MOCK",
            "middle_name": "CAITLIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.