Healthcare Provider Details

I. General information

NPI: 1255834677
Provider Name (Legal Business Name): CAITLYN STARCHER LISW-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAITLYN ERRA

II. Dates (important events)

Enumeration Date: 03/12/2018
Last Update Date: 03/20/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 DENNISON AVE STE 101
COLUMBUS OH
43201-3497
US

IV. Provider business mailing address

1020 DENNISON AVE STE 101
COLUMBUS OH
43201-3497
US

V. Phone/Fax

Practice location:
  • Phone: 614-674-6076
  • Fax:
Mailing address:
  • Phone: 330-718-0743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.1901891-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: