Provider Demographics
NPI:1639835325
Name:SHIFLETT, CAITLIN LESLIE (LCSW)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:LESLIE
Last Name:SHIFLETT
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 1:1908 NEWMAN RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23231-1616
Mailing Address - Country:US
Mailing Address - Phone:540-550-6787
Mailing Address - Fax:
Practice Address - Street 1:112 N ARTHUR ASHE BLVD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-4304
Practice Address - Country:US
Practice Address - Phone:540-550-6787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040128491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical