Individual provider Active NPI

Caitlin Beth Leitner-Flynn, LCSW

  • Social Worker
  • Phillipsburg, NJ
National Provider Identifier
1841571536
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05713800 Issued in NJ
Practice address
445 Marshall St
Phillipsburg, NJ 08865-2695
Phone
(908) 399-5042
NPI assigned
Sep 8, 2011
Last updated
Oct 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SC05563300 NJ
Mental Health Counselor 101YM0800X 47-3221505 NJ
Social Worker 104100000X 44SL05713800 NJ Primary

Addresses

Primary practice location

445 Marshall St
Phillipsburg, NJ 08865-2695

Mailing address

93 Mountain Lake Rd
Belvidere, NJ 07823-2542
Phone (908) 399-5042

Other identifiers 2

IdentifierTypeStateIssuer
44SC05563300OtherNJLCSW
44SL05713800OtherNJSOCIAL WORK EXAMINERS - LICENSED SOCIAL WORKER

Other names 1

  • Caitlin Beth Flynn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20151006000913 NJ Practitioner - Clinical Social Worker 1052629920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northstar Counseling Services LLCGroup PAC ID 6204144165, 9 clinicians

Practice addresses (Care Compare)

114 S 2ND St
Phillipsburg, NJ 08865-1806
Phone (908) 329-2144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05563300NJMDMental Health Counselor
44SL05713800NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Counseling Services LLC CurrentSince May 1, 2015 Accepting new patients

Locations

114 S 2nd St
Phillipsburg, NJ 08865
Phone (908) 329-2144

445 Marshall St
Phillipsburg, NJ 08865
Phone (609) 582-0899

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": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1841571536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 MOUNTAIN LAKE RD",
            "city": "BELVIDERE",
            "state": "NJ",
            "postal_code": "078232542",
            "telephone_number": "908-399-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 MARSHALL ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652695",
            "telephone_number": "908-399-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITNER-FLYNN",
        "first_name": "CAITLIN",
        "middle_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC05563300",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "47-3221505",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05713800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "44SC05563300",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK EXAMINERS - LICENSED SOCIAL WORKER",
            "identifier": "44SL05713800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "FLYNN",
            "middle_name": "BETH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.