Healthcare Provider Details

I. General information

NPI: 1942081377
Provider Name (Legal Business Name): CAITLIN ASHLEY CIPRIANO MSW, LISW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2023
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 FOREST PARK DR STE 1-2F2
FARMINGTON CT
06032-1487
US

IV. Provider business mailing address

1 FOREST PARK DR
FARMINGTON CT
06032-1487
US

V. Phone/Fax

Practice location:
  • Phone: 614-602-2174
  • Fax:
Mailing address:
  • Phone: 203-592-7598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2506337
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number14918
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: