Healthcare Provider Details

I. General information

NPI: 1427257054
Provider Name (Legal Business Name): CAITLYN ELIZABETH OGILVIE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAITLYN ELIZABETH STEELE MSW

II. Dates (important events)

Enumeration Date: 07/13/2007
Last Update Date: 05/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 GALLUP HILL RD
LEDYARD CT
06339
US

IV. Provider business mailing address

15 PHEASANT RUN DR
GALES FERRY CT
06335-2019
US

V. Phone/Fax

Practice location:
  • Phone: 860-464-9600
  • Fax:
Mailing address:
  • Phone: 860-227-7261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number58.007292
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: