Healthcare Provider Details

I. General information

NPI: 1578446944
Provider Name (Legal Business Name): CAITLIN MARIE DUGAN MSW, PPSC-SW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 DECLARATION DR
CHICO CA
95973-4916
US

IV. Provider business mailing address

2423 CEANOTHUS AVE
CHICO CA
95926-1608
US

V. Phone/Fax

Practice location:
  • Phone: 510-512-8891
  • Fax:
Mailing address:
  • Phone: 510-512-8891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number240228485
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW128791
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: