Healthcare Provider Details

I. General information

NPI: 1659700557
Provider Name (Legal Business Name): CAROLINE CATON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2013
Last Update Date: 11/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 ILLINOIS AVE
STEVENS POINT WI
54481-3112
US

IV. Provider business mailing address

1501 S MADISON ST
APPLETON WI
54915-1846
US

V. Phone/Fax

Practice location:
  • Phone: 715-342-7725
  • Fax:
Mailing address:
  • Phone: 920-730-4414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number7508-123
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: