Healthcare Provider Details

I. General information

NPI: 1154249233
Provider Name (Legal Business Name): CAITLIN ANNA BITTO O'CONNELL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAITLIN ANNA BITTO

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7969 ASHTON AVE
MANASSAS VA
20109-2885
US

IV. Provider business mailing address

15455 EAGLE TAVERN LN
CENTREVILLE VA
20120-3718
US

V. Phone/Fax

Practice location:
  • Phone: 703-792-4909
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904020704
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: