Individual provider Active NPI

Caitlin Vanslooten, LICSW

  • Clinical Social Worker
  • Winthrop, MA
National Provider Identifier
1689921900
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118117 Issued in MA
Practice address
32 Elmwood Ave
Winthrop, MA 02152-1705
Phone
(617) 785-9128
NPI assigned
Aug 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 118117 MA Primary

Addresses

Primary practice location

32 Elmwood Ave
Winthrop, MA 02152-1705

Mailing address

32 Elmwood Ave
Winthrop, MA 02152-1705
Phone (617) 785-9128

Other identifiers 6

IdentifierTypeStateIssuer
1303287OtherMAMBHP
1004745OtherMANHP
0000023532OtherMABMC
1303287MedicaidMA
99618201OtherMANETWORK HEALTH
M18633OtherMABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 7, 2024 through Mar 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
118117MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Caitlin Vanslooten Psychotherapy LLC Clinical CurrentSince Apr 20, 2021 Accepting new patients

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": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1689921900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 ELMWOOD AVE",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521705",
            "telephone_number": "617-785-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 ELMWOOD AVE",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021521705",
            "telephone_number": "617-785-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSLOOTEN",
        "first_name": "CAITLIN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP",
            "identifier": "1303287",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "1004745",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC",
            "identifier": "0000023532",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303287",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "99618201",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M18633",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winthrop, MA

Sources for this page

Verify at the official NPI Registry.