Individual provider Active NPI

Caitlin Taylor, LCSW-S

  • Clinical Social Worker
  • The Woodlands, TX
National Provider Identifier
1699434712
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
59248 Issued in TX
Practice address
17198 St Lukes Way Ste 630
The Woodlands, TX 77384-8017
Phone
(832) 822-2400
NPI assigned
Dec 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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 59248 TX Primary

Addresses

Primary practice location

17198 St Lukes Way Ste 630
The Woodlands, TX 77384-8017

Mailing address

1095 Evergreen Cir Ste 480
The Woodlands, TX 77380-3645
Phone (832) 280-8880

Other practice location 1

1095 Evergreen Cir Ste 480
The Woodlands, TX 77380-3645
Phone (832) 280-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20241031003216 TX Practitioner - Clinical Social Worker 4183157951 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59248TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children'S Physician Group CurrentSince Oct 18, 2024 Accepting new patients
Texas Children'S Hospital Past Accepting new patients
Lauren Pasqua, PSYD Clinical PastSince Dec 1, 2021 Accepting new patients

Locations

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

17198 St Lukes Way
Ste 630
The Woodlands, TX 77384
Phone (936) 271-3668

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

Organizations & group practices 3

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": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1699434712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 EVERGREEN CIR STE 480",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803645",
            "telephone_number": "832-280-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17198 ST LUKES WAY STE 630",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848017",
            "telephone_number": "832-822-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1095 Evergreen Cir Ste 480",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773803645",
            "country_code": "US",
            "telephone_number": "832-280-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CAITLIN",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-16",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.