CAITLYN CONCKLIN (NPI# 1366041303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366041303 |
| Entity Type | Individual |
| Full Name | CAITLYN CONCKLIN |
| Practice Address |
4821 S Bannock St Englewood CO 80110-6534 |
| Mailing Address |
Po Box 61385 Denver CO 80206-8385 |
| Practice Telephone | 3037615001 |
| Mailing Telephone | 3037809191 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW.09926844 | CO | Behavioral Health & Social Service Providers |
| Street Address |
4821 S BANNOCK ST |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80110-6534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396884953 | Third Way Center, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 4821 S Bannock St, Englewood, CO 80110-6534 | 2007-02-06 |
| 1740672898 | Brittney Martinez | Social Worker | 4821 S Bannock St, Englewood, CO 80110-6534 | 2015-02-26 |
| 1376933259 | Elizabeth Maloney | Social Worker | 4821 S Bannock St, Englewood, CO 80110-6534 | 2015-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803305 | Jamie Katherine Mcnair | Counselor | 3460 S. Sheridan Blvd., Sheridan, CO 80110 | 2020-02-20 |
| 1285152926 | Julie Sw Zhu | Nurse's Aide | 4141 S Navajo Street Apt 504a, Englewood, CO 80110 | 2017-09-01 |
| 1457878183 | Ryan Lynch | Counselor | 1455 Beeler St., Aurora, CO 80110 | 2017-08-24 |
| 1326565177 | Fredric M Sonstein Md Mba Pllc | Neurological Surgery | 333 W Hampden Ave Ste 800, Englewood, CO 80110 | 2017-08-23 |
| 1285160283 | No Smile Left Behind Pllc | Dentist | 750 W Hampden Avenue, Suite 516, Englewood, CO 80110 | 2017-05-11 |
| 1619369949 | Infinite Diagnostics, LLC | Clinical Medical Laboratory | 730 W Hamden Ave, Suite 200, Englewood, CO 80110 | 2015-02-24 |
| 1861833386 | Hospice Care of The Rockies LLC | Hospice Care, Community Based | 750 W Hampden Ave Ste 280, Englewood, CO 80110 | 2013-07-12 |
| 1336496470 | Michelle L Gambel | Physical Therapist | 401 W Hampden Pl Ste 10, Englewood, CO 80110 | 2012-08-08 |
| 1467729012 | Angela Johnson | Social Worker | 333 West Hampton Ave. Suite 705, Denver, CO 80110 | 2011-11-28 |
| 1881986479 | Angela Han Choi | Registered Nurse | 750 W Hampden Ave Ste 105, Englewood, CO 80110 | 2011-05-13 |
| Find all providers in zip 80110 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477189595 | Alyssa Bressman Lcsw LLC | Social Worker | 163 Engle St Ste 5, Englewood, NJ 07631-2530 | 2020-03-20 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1114576287 | Miko E Douglas | Social Worker | 61 Grand Ave Ste 1, Englewood, NJ 07631-3599 | 2019-09-10 |
| 1306344874 | Lauren Mccaman | Social Worker | 601 E Hampden Ave Ste 290, Englewood, CO 80113-2768 | 2018-01-30 |
| 1649782236 | Laura Tarikyan | Social Worker | 44 Engle St Fl 2, Englewood, NJ 07631-2905 | 2017-11-03 |
| 1356891584 | Ryan Wallerius | Social Worker | 4800 Scothills Dr, Englewood, OH 45322-3523 | 2016-10-12 |
| 1093265522 | Kari Moore | Social Worker | 3216 S Lincoln St, Englewood, CO 80113-2538 | 2016-10-07 |
| 1477001048 | Leslie-ann Fromen | Social Worker | 370 Eton St, Englewood, NJ 07631-4719 | 2016-09-13 |
| 1487012720 | Mile High Trauma Therapy Center | Social Worker | 4225 S Logan St, Englewood, CO 80113-4728 | 2016-02-01 |
| 1366807158 | Amanda Christine Marsh | Social Worker | 3534 S. Lincoln, Titan Bldg Attn Amanda Marsh, Englewood, CO 80113-3142 | 2015-12-21 |
| Find all providers in ENGLEWOOD | ||||
Please comment or provide details below to improve the information on CAITLYN CONCKLIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.