Individual provider Active NPI

Caitlin Alice Ward, LCSW

  • Clinical Social Worker
  • Waterford, CT
National Provider Identifier
1750236782
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09932920 Issued in CO
Practice address
14 Stoney Brook Dr
Waterford, CT 06385-1518
Phone
(860) 322-6302
Fax
(860) 854-2204
NPI assigned
Mar 4, 2026
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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 09932920 CO Primary
Clinical Social Worker 1041C0700X 016268 CT

Addresses

Primary practice location

14 Stoney Brook Dr
Waterford, CT 06385-1518

Mailing address

1000 Boston Post Rd # 1041
Old Saybrook, CT 06475-2142
Phone (860) 322-6302

Other identifiers 1

IdentifierTypeStateIssuer
9000257171MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20260512003530 CO Practitioner - Clinical Social Worker 9739658493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1000 Boston Post Rd
Suite 1041
Old Saybrook, CT 06475-2142

6120 Flower St
Arvada, CO 80004-5340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09932920COMDClinical Social Worker
016268CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Concussed. PLLC Clinical Current Accepting new patients

Locations

1000 Boston Post Rd
Old Saybrook, CT 06475
Phone (475) 221-2406

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1750236782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOSTON POST RD # 1041",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752142",
            "telephone_number": "860-322-6302",
            "fax_number": "860-854-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 STONEY BROOK DR",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851518",
            "telephone_number": "860-322-6302",
            "fax_number": "860-854-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "CAITLIN",
        "middle_name": "ALICE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09932920",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "016268",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000257171",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

Verify at the official NPI Registry.