Provider Demographics
NPI:1467903732
Name:SCHULTZ, CAITLYN (LCSW)
Entity Type:Individual
Prefix:
First Name:CAITLYN
Middle Name:
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11801 AUTUMN LEAVES LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-4710
Mailing Address - Country:US
Mailing Address - Phone:904-607-8484
Mailing Address - Fax:
Practice Address - Street 1:11801 AUTUMN LEAVES LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-4710
Practice Address - Country:US
Practice Address - Phone:904-607-8484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-20
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW13944101Y00000X, 1041C0700X
TN81281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor