Caitlin Bennett, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW68812 Issued in CA

Practice address

490 S Broadway St
Yreka, CA 96097-3019

Phone

(530) 841-1030

NPI assigned

Nov 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• His Ideas, Inc

  • Foster Care Agency
  • Redding, CA
  • NPI 1386416774
  NPD (past)
• His Ideas, Inc

  • Community/Behavioral Health Agency
  • Red Bluff, CA
  • NPI 1568641470
  NPD (past)

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1679946826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960800950",
            "telephone_number": "530-529-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 S BROADWAY ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973019",
            "telephone_number": "530-841-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CAITLIN",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW68812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Kay Beaver, RD
• Christi A Beck, RTEI 66340
• Vicki Bedford
• Scott Beer
• Vickie Beltramo, PT
• Peter A. Beoris, MD
• Amber Bernelis, PA-C
• Ginger A Bert, D.C.
• Lynda Anne Beverlin
• Gita Bhushan, MOTR/L

• Clinical Social Worker in Yreka, CA
• Providers in Yreka, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.