Individual provider Active NPI

Caitlin M Minino, LCSW, LAC

  • Clinical Social Worker
  • Longmont, CO
National Provider Identifier
1649596347
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09926835 Issued in CO
Practice address
500 Coffman St Ste 204
Longmont, CO 80501-5445
Phone
(970) 587-3699
NPI assigned
Apr 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0001593 CO
Clinical Social Worker 1041C0700X CSW.09926835 CO Primary
Clinical Social Worker 1041C0700X
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

500 Coffman St Ste 204
Longmont, CO 80501-5445

Mailing address

3379 Shadbush St
Johnstown, CO 80534-9142
Phone (303) 579-5277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20210927003089 CO Practitioner - Clinical Social Worker 5698172021 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

Practice addresses (Care Compare)

500 Coffman St
Suite 204
Longmont, CO 80501-5445
Phone (970) 587-3699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0001593COMDAddiction (Substance Use Disorder) Counselor
CSW.09926835COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Starting With You LLC CurrentSince Jul 14, 2024 Accepting new patients

Locations

500 Coffman St
Ste 204
Longmont, CO 80501
Phone (720) 204-8655

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1649596347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 SHADBUSH ST",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805349142",
            "telephone_number": "303-579-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COFFMAN ST STE 204",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015445",
            "telephone_number": "970-587-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MININO",
        "first_name": "CAITLIN",
        "middle_name": "M",
        "credential": "LCSW, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001593",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926835",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.