Active NPI
Casidhe Caitlin Daniels, LCSW
- Military Health Care Provider
- Fort Sam Houston, TX
National Provider Identifier
1588329304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW1824 | FL | MD | Clinical Social Worker |
| LC20946 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical Industries Inc | Past | 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.
-
dba AllianceCare
- Primary Care Nurse Practitioner
- Boynton Beach, FL
- NPI 1528019247
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.