Provider Demographics
NPI:1043606254
Name:ESHELMAN, CAITLIN (LICSW)
Entity Type:Individual
Prefix:MS
First Name:CAITLIN
Middle Name:
Last Name:ESHELMAN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:FRAEDRICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:3319 NASH PLACE SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020
Mailing Address - Country:US
Mailing Address - Phone:703-403-1869
Mailing Address - Fax:
Practice Address - Street 1:821 HOWARD RD SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-5805
Practice Address - Country:US
Practice Address - Phone:703-403-1869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-14
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500798541041S0200X
WALC500798541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool