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NPI Code Detail

MEDICARE: CAITLIN CARMELINA DITTA LCSW

MEDICARE: CAITLIN CARMELINA DITTA LCSW
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
11041C0700XClinical Social Worker88610CA
2101Y00000XCounselor
3101YM0800XMental Health CounselorASW67867CA

General Provider Information

NPI Number : 1568863538
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN CARMELINA DITTA LCSW
Provider Business Mailing Address
First Line : 150 LINDEN ST
Second Line :
City : OAKLAND
State : CA
Zip : 94607-2538
Country : US
Telephone Number : 510-273-4700
Fax Number :
Provider Business Practice Location Address
First Line : 150 LINDEN ST
Second Line :
City : OAKLAND
State : CA
Zip : 94607-2538
Country : US
Telephone Number : 510-273-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2014
Last Update Date : 11/03/2025

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Directions to “ CAITLIN CARMELINA DITTA LCSW” Practice Location

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