Nancy Ann Caudill, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW7761 Issued in FL

Practice address

4449 Straight Line Rd
Crestview, FL 32539-6720

Phone

(850) 683-3900

Fax

(850) 683-3908

NPI assigned

Nov 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Okaloosa Youth Development Center

  • Children's Substance Abuse Rehabilitation Facility
  • Crestview, FL
  • NPI 1568576098
  Authorized official Same address or phone
• Rementis Health Group LLC

  • Community/Behavioral Health Agency
  • Destin, FL
  • NPI 1417108200
  NPD (past)
• Memory Bridging Incorporated

  • Cognitive & Behavioral Psychologist
  • Parker, CO
  • NPI 1386827293
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801960166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4449 STRAIGHT LINE RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325396720",
            "telephone_number": "850-683-3900",
            "fax_number": "850-683-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 STRAIGHT LINE RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325396720",
            "telephone_number": "850-683-3900",
            "fax_number": "850-683-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILL",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767117200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jazzmin Carter
• Jennifer Lehman Carter, OT
• Shannon L. Carter
• Emily Ann Castille, APRN
• Melissa Dawn Caudill
• Linda Cavett, LMHC
• Cedar Pearl Dental, LLC
• Teresa Reynolds Champion, OT
• Ryan Chan
• Jenny Carolina Chavez Reyes

• Clinical Social Worker in Crestview, FL
• Providers in Crestview, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.