Provider Information for 1407502495
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
CAITLIN ELIZABETH DUBLE LCSW
Other Names:Former Name:CAITLIN ELIZABETH WRIGHTSex: Female
NPI: 1407502495
Last Updated: 2022-03-01
Certification Date: 2022-03-01
Certification Date: 2022-03-01
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1407502495 | ||||||||
| Enumeration Date | 2022-02-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 770 W RIDGE RD WYTHEVILLE, VA 24382-1187 United States Phone: 276-223-3200 | Fax:276-223-0617 | ||||||||
| Primary Practice Address | 216 HOSPITAL AVE MARION, VA 24354-3157 United States Phone: 276-783-8185 | Fax:276-783-5030 | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|