Active NPI
Caitlin Bearss
- Clinical Social Worker
- Traverse City, MI
National Provider Identifier
1770315798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 525 W 14TH St Unit D
Traverse City, MI 49684-4061 - Phone
- (231) 883-2936
- NPI assigned
- Aug 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
525 W 14TH St Unit D
Traverse City, MI 49684-4061
Mailing address
6010 Center Rd
Traverse City, MI 49686-1922
Phone (231) 883-2936
Other practice location 1
1844 Oak Hollow Dr Ste B
Traverse City, MI 49686-5924
Phone (231) 883-2936
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1770315798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6010 CENTER RD",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496861922",
"telephone_number": "231-883-2936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 W 14TH ST UNIT D",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496844061",
"telephone_number": "231-883-2936"
}
],
"practiceLocations": [
{
"address_1": "1844 Oak Hollow Dr Ste B",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496865924",
"country_code": "US",
"telephone_number": "231-883-2936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEARSS",
"first_name": "CAITLIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-19",
"last_updated": "2024-08-19",
"certification_date": "2024-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.