Individual provider Active NPI

Ian Caughlan, LMSW

  • Social Worker
  • Columbia, MD
National Provider Identifier
1861176216
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
29961 Issued in MD
Practice address
7050 Oakland Mills Rd Ste 140
Columbia, MD 21046-2270
Phone
(443) 842-4149
NPI assigned
Jun 14, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 29961 MD Primary

Addresses

Primary practice location

7050 Oakland Mills Rd Ste 140
Columbia, MD 21046-2270

Mailing address

7050 Oakland Mills Rd Ste 140
Columbia, MD 21046-2270
Phone (443) 842-4149

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

State licenses

LicenseStateTypeSpecialty
29961MDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1861176216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 OAKLAND MILLS RD STE 140",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462270",
            "telephone_number": "443-842-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 OAKLAND MILLS RD STE 140",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462270",
            "telephone_number": "443-842-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUGHLAN",
        "first_name": "IAN",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "29961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.