Individual provider Active NPI

Caitlin Virginia Rattigan, MSW, LCSW

  • Clinical Social Worker
  • Decatur, GA
National Provider Identifier
1720635782
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW006825 Issued in GA
Practice address
245 E Trinity PL Unit 1260
Decatur, GA 30030-3487
Phone
(570) 573-4489
NPI assigned
Aug 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW16198 FL
Clinical Social Worker 1041C0700X CW020737 PA
Clinical Social Worker 1041C0700X CSW006825 GA Primary

Addresses

Primary practice location

245 E Trinity PL Unit 1260
Decatur, GA 30030-3487

Mailing address

245 E Trinity PL Unit 1260
Decatur, GA 30030-3487
Phone (570) 573-4489

Other practice location 1

315 W Ponce De Leon Ave Ste 1055
Decatur, GA 30030-2412
Phone (570) 573-4489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 22, 2024 through Jan 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW16198FLMDClinical Social Worker
CSW006825GAMDClinical Social Worker
CW020737PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1720635782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 E TRINITY PL UNIT 1260",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303487",
            "telephone_number": "570-573-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E TRINITY PL UNIT 1260",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303487",
            "telephone_number": "570-573-4489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W Ponce De Leon Ave Ste 1055",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300302412",
            "country_code": "US",
            "telephone_number": "570-573-4489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATTIGAN",
        "first_name": "CAITLIN",
        "middle_name": "VIRGINIA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16198",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020737",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW006825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.