Healthcare Provider Details

I. General information

NPI: 1225451123
Provider Name (Legal Business Name): CAITLIN H ENRIGHT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2014
Last Update Date: 06/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 GREENE COUNTY OFFICE BLDG
CAIRO NY
12413-2868
US

IV. Provider business mailing address

905 GREENE COUNTY OFFICE BLDG
CAIRO NY
12413-2868
US

V. Phone/Fax

Practice location:
  • Phone: 518-622-9163
  • Fax:
Mailing address:
  • Phone: 518-622-9163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number088824-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number084306-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: