Caitlin Rose Labrador, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW13916 Issued in FL

Practice address

1301 Plantation Island Dr S Ste 201B
St Augustine, FL 32080-3116

Phone

(904) 342-5965

NPI assigned

Dec 9, 2014

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

Other identifiers 1

Other names 1

• Miss Caitlin Rose Bloom Former name

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.

• Awakening, Inc.

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  • NPI 1356502728
  NPD (past)

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1689072514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR S STE 201B",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803116",
            "telephone_number": "904-342-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR S STE 201B",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803116",
            "telephone_number": "904-342-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRADOR",
        "first_name": "CAITLIN",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029591400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "BLOOM",
            "middle_name": "ROSE",
            "prefix": "MISS",
            "credential": "MSW, RCSWI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Kunkler, RBT
• Michele Lorane Kuranz, MA
• Courtney Rowand Kurz
• Nancy Ruth Kysela, P.T.
• Guillermo Rubio Labial, PT, DPT
• Rachael M. Labrecque, LMHC
• Vanessa Labrie
• Carrie Kyoko Lacayo-Benton, LCSW
• Anease Michelle Lacaze
• Maura Lacey, BA

• Clinical Social Worker in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.