Provider Demographics
NPI:1326645433
Name:INMAN, CAITLIN JESSICA (LICSW, PIP)
Entity Type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:JESSICA
Last Name:INMAN
Suffix:
Gender:F
Credentials:LICSW, PIP
Other - Prefix:MS
Other - First Name:CAITLIN
Other - Middle Name:JESSICA
Other - Last Name:MOON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2420 JAMESTOWN DR
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-1422
Mailing Address - Country:US
Mailing Address - Phone:205-612-2352
Mailing Address - Fax:
Practice Address - Street 1:1849 DATA DR
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-1202
Practice Address - Country:US
Practice Address - Phone:205-733-9755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4277C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical