MEDICARE: CAITLIN BETANCOURT LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	19649	LA

General Provider Information

NPI Number	:	1295663144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN BETANCOURT LMSW

Provider Business Mailing Address
First Line	:	4428 JASPER ST
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70006-2826
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3636 N CAUSEWAY BLVD STE 201
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-7215
Country	:	US
Telephone Number	:	225-402-2436
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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Directions to “ CAITLIN BETANCOURT LMSW” Practice Location

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