Individual provider Active NPI

Britta D Caudill, DSW, LCSW

  • Clinical Social Worker
  • Prestonsburg, KY
National Provider Identifier
1710440441
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
253998 Issued in KY
Practice address
140 Frasure Hill Dr
Prestonsburg, KY 41653-8910
Phone
(606) 506-4291
Fax
(606) 506-0147
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 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 253998 KY Primary

Addresses

Primary practice location

140 Frasure Hill Dr
Prestonsburg, KY 41653-8910

Mailing address

140 Frasure Hill Dr
Prestonsburg, KY 41653-8910
Phone (606) 506-4291

Other identifiers 1

IdentifierTypeStateIssuer
7100589540MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20190510001908 KY Practitioner - Clinical Social Worker 0244573426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

140 Frasure Hill Dr
Prestonsburg, KY 41653-8910
Phone (606) 506-4291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
253998KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Newway Health LLC Clinical CurrentSince Jun 15, 2023 Accepting new patients
Still Waters Counseling & Recovery Resources LLC Past Accepting new patients

Organizations & group practices 2

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": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1710440441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 FRASURE HILL DR",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416538910",
            "telephone_number": "606-506-4291",
            "fax_number": "606-506-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 FRASURE HILL DR",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416538910",
            "telephone_number": "606-506-4291",
            "fax_number": "606-506-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILL",
        "first_name": "BRITTA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100589540",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.