MEDICARE: CAITLEN PAPPAS

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	1041C0700X	Clinical Social Worker	135538	CA

General Provider Information

NPI Number	:	1972358869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLEN PAPPAS

Provider Business Mailing Address
First Line	:	1641 PAMELA DR
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95404-3138
Country	:	US
Telephone Number	:	707-591-4308
Fax Number	:

Provider Business Practice Location Address
First Line	:	1641 PAMELA DR
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95404-3138
Country	:	US
Telephone Number	:	707-591-4308
Fax Number	:

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

Provider Enumeration Date	:	04/23/2024
Last Update Date	:	05/07/2026

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Directions to “ CAITLEN PAPPAS ” Practice Location

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