Caitlin Mary Burns

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10743 Issued in FL

Practice address

2140 Crawfordville Hwy Unit B
Crawfordville, FL 32327-1097

Phone

(850) 926-1900

NPI assigned

Oct 15, 2019

Last updated

Oct 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• A Time to Change Counseling Center

  • Clinical Social Worker
  • Crawfordville, FL
  • NPI 1306079587
  Medicare reassignment NPD
• Gulf Wind Counseling LLC

  • Clinical Social Worker
  • Tallahassee, FL
  • NPI 1841945623
  Medicare reassignment
• A Time to Change Counseling Center

  • Mental Health Counselor
  • Tallahassee, FL
  • NPI 1932940632
  NPD (past)

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1689216228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 PINECREST DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 CRAWFORDVILLE HWY UNIT B",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323271097",
            "telephone_number": "850-926-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 N Paul Russell Rd",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323014880",
            "country_code": "US",
            "telephone_number": "850-980-1747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "CAITLIN",
        "middle_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Brooks, APRN
• Patrick Ryan Brooks, RN
• Aun-Drey Brown
• Vickie Diane Brown, CRT
• Patrick Allen Burke I
• Kathleen Gail Butler, D.C.
• Melissa Lea Cabe, APRN FNP-C
• Aida M Casto, ARNP
• Lori Christine Cate, M.P.T.
• Valerie Jeanette Clenney, PT

• Clinical Social Worker in Crawfordville, FL
• Providers in Crawfordville, 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 Oct 15, 2019; 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.

Verify at the official NPI Registry.