Caitlin Mary Burns
Individual provider Active NPI Clinical Social Worker · Crawfordville, FL
NPI 1689216228 · NPPES record last updated Oct 15, 2019
Key facts
- NPI
- 1689216228
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW10743 (FL)
- Practice address
- 2140 Crawfordville Hwy Unit B
Crawfordville, FL 32327-1097 - Phone
- (850) 926-1900
- NPI assigned
- Oct 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191202002533 | FL | Practitioner - Clinical Social Worker | 0648603878 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW10743 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Time to Change Counseling Center | Clinical | Current |
Accepting new patients |
| A Time to Change Counseling Center | Past |
Accepting new patients |
Locations
2140 Crawfordville Hwy
Unit B
Crawfordville, FL 32327
Phone (850) 925-0128
1363 E Lafayette St
Tallahassee, FL 32301
Phone (850) 296-1900
2417 Fleischmann Rd
Ste 4
Tallahassee, FL 32308
Phone (850) 926-1900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW10743 | FL | Yes |
Addresses
Primary practice location
2140 Crawfordville Hwy Unit B
Crawfordville, FL 32327-1097
Mailing address
1119 Pinecrest Dr
Tallahassee, FL 32301-3706
Other practice location 1
1311 N Paul Russell Rd
Tallahassee, FL 32301-4880
Phone (850) 980-1747
Other providers in Crawfordville, FL
- Christie Brooks
- Patrick Ryan Brooks
- Aun-Drey Brown
- Vickie Diane Brown
- Patrick Allen Burke I
- Kathleen Gail Butler
- Melissa Lea Cabe
- Aida M Casto
- Lori Christine Cate
- Valerie Jeanette Clenney
All providers in Crawfordville, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.