Provider Demographics
NPI:1013454784
Name:BELL, CAITLIN (LCSW)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:WANKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:319 CHICKASAW DRIVE
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36206
Mailing Address - Country:US
Mailing Address - Phone:907-223-6555
Mailing Address - Fax:605-343-7293
Practice Address - Street 1:2480 S WOODWORTH LOOP STE 285
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-7408
Practice Address - Country:US
Practice Address - Phone:907-861-6035
Practice Address - Fax:907-861-6039
Is Sole Proprietor?:No
Enumeration Date:2017-01-19
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD3371104100000X
AK1734651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker