Healthcare Provider Details

I. General information

NPI: 1841829884
Provider Name (Legal Business Name): CAITLIN SCAFATI LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 11/27/2023
Certification Date: 04/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 W 21ST ST FL 4
NEW YORK NY
10010-6923
US

IV. Provider business mailing address

20 CAMBRIDGE RD
BLOOMFIELD NJ
07003-2865
US

V. Phone/Fax

Practice location:
  • Phone: 212-645-6903
  • Fax:
Mailing address:
  • Phone: 413-977-6929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SL06085400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number106373-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: