Active NPI
Catherine Caudill, LCSW
- Clinical Social Worker
- Richmond, VA
National Provider Identifier
1942742838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904010644
- Practice address
- 6208 Fitzhugh Ave
Richmond, VA 23226-2813 - Phone
- (276) 608-1152
- NPI assigned
- Nov 9, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 37903 | ID | |
| Clinical Social Worker | 1041C0700X | 0904010644 | VA | Primary |
Addresses
Primary practice location
6208 Fitzhugh Ave
Richmond, VA 23226-2813
Mailing address
6208 Fitzhugh Ave
Richmond, VA 23226-2813
Phone (276) 608-1152
Other practice location 1
1993 E 8th N
Mountain Home, ID 83647-2333
Phone (208) 587-7659
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 |
|---|---|---|---|
| 37903 | ID | MD | Clinical Social Worker |
| 0904010644 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1942742838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6208 FITZHUGH AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232262813",
"telephone_number": "276-608-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6208 FITZHUGH AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232262813",
"telephone_number": "276-608-1152"
}
],
"practiceLocations": [
{
"address_1": "1993 E 8th N",
"address_purpose": "LOCATION",
"city": "Mountain Home",
"state": "ID",
"postal_code": "836472333",
"country_code": "US",
"telephone_number": "208-587-7659",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAUDILL",
"first_name": "CATHERINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-09",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "37903",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904010644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.