Individual provider Active NPI

Caitlin Asselta

  • Social Worker
  • Clarksville, TN
National Provider Identifier
1982157251
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1820 Memorial Cir
Clarksville, TN 37043-4539
Phone
(931) 920-7333
NPI assigned
Aug 3, 2016
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1820 Memorial Cir
Clarksville, TN 37043-4539

Mailing address

940 Wyatt Hollow Rd
Big Rock, TN 37023-3145
Phone (931) 627-2874

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 3, 2016.

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1982157251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 WYATT HOLLOW RD",
            "city": "BIG ROCK",
            "state": "TN",
            "postal_code": "370233145",
            "telephone_number": "931-627-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 MEMORIAL CIR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434539",
            "telephone_number": "931-920-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSELTA",
        "first_name": "CAITLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.