MEDICARE: MRS. CAITLIN RIFKIN LMHC, LPC, LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH21562	FL
2	101YM0800X	Mental Health Counselor	11848	CA
3	101YM0800X	Mental Health Counselor	LPC.0018016	CO
4	101YM0800X	Mental Health Counselor	37PC00913900	NJ
5	101YM0800X	Mental Health Counselor	LPC46.006688	CT
6	101YM0800X	Mental Health Counselor	009731	NY

General Provider Information

NPI Number	:	1275042418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAITLIN RIFKIN LMHC, LPC, LPCC

Provider Business Mailing Address
First Line	:	4400 N CONGRESS AVE STE 100
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3221
Country	:	US
Telephone Number	:	908-309-7967
Fax Number	:

Provider Business Practice Location Address
First Line	:	4400 N CONGRESS AVE STE 100
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3221
Country	:	US
Telephone Number	:	646-926-4944
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2017
Last Update Date	:	02/16/2024

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