Active NPI
Caitlyn Galvan
- Social Worker
- Santa Cruz, CA
National Provider Identifier
1871006429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW110182
- Practice address
- 2250 Soquel Ave Ste 150
Santa Cruz, CA 95062-1402 - Phone
- (831) 600-2801
- NPI assigned
- Nov 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Social Worker | 104100000X | ASW110182 | CA | Primary |
Addresses
Primary practice location
2250 Soquel Ave Ste 150
Santa Cruz, CA 95062-1402
Mailing address
373 W Julian St
San Jose, CA 95110-2319
Phone (669) 263-4781
Other practice location 1
380 Encinal St Ste 200
Santa Cruz, CA 95060-2178
Phone (831) 469-1700 ext. 3763
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW110182 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Corporation | Past | Accepting new patients | |
| Telecare Corporation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Illness Community Based Residential Treatment Facility
- San Diego, CA
- NPI 1275398935
-
- Psychiatric Hospital
- Santa Cruz, CA
- NPI 1780926964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1871006429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "373 W JULIAN ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951102319",
"telephone_number": "669-263-4781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 SOQUEL AVE STE 150",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950621402",
"telephone_number": "831-600-2801"
}
],
"practiceLocations": [
{
"address_1": "380 Encinal St Ste 200",
"address_purpose": "LOCATION",
"city": "Santa Cruz",
"state": "CA",
"postal_code": "950602178",
"country_code": "US",
"telephone_number": "831-469-1700 x3763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALVAN",
"first_name": "CAITLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-06",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW110182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.