Individual provider Active NPI

Caitlin Clote, LCSW

  • Clinical Social Worker
  • Fenton, MO
National Provider Identifier
1730757386
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2021018719 Issued in MO
Practice address
519 Stanton CT
Fenton, MO 63026-3255
Phone
(719) 200-8523
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 09927801 CO
Clinical Social Worker 1041C0700X 2021018719 MO Primary

Addresses

Primary practice location

519 Stanton CT
Fenton, MO 63026-3255

Mailing address

519 Stanton CT
Fenton, MO 63026-3255
Phone (719) 200-8523

Other practice location 1

3230 E Woodmen Rd Ste 110
Colorado Springs, CO 80920-8502
Phone (719) 623-2356

Other practice location 2

3595 E Fountain Blvd
Colorado Springs, CO 80910-1733
Phone (719) 623-2356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09927801COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1730757386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 STANTON CT",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263255",
            "telephone_number": "719-200-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 STANTON CT",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263255",
            "telephone_number": "719-200-8523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3230 E Woodmen Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809208502",
            "country_code": "US",
            "telephone_number": "719-623-2356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3595 E Fountain Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809101733",
            "country_code": "US",
            "telephone_number": "719-623-2356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOTE",
        "first_name": "CAITLIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09927801",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021018719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.