Provider Demographics
NPI:1356753636
Name:KOSKEY, CAITLIN S (SOCIAL WORKER)
Entity type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:S
Last Name:KOSKEY
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:MS
Other - First Name:CAITLIN
Other - Middle Name:S
Other - Last Name:BOWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:301 EXPLORER ST
Mailing Address - Street 2:
Mailing Address - City:GWINN
Mailing Address - State:MI
Mailing Address - Zip Code:49841-2813
Mailing Address - Country:US
Mailing Address - Phone:906-346-4924
Mailing Address - Fax:906-346-6474
Practice Address - Street 1:135 E M35
Practice Address - Street 2:
Practice Address - City:GWINN
Practice Address - State:MI
Practice Address - Zip Code:49841-9160
Practice Address - Country:US
Practice Address - Phone:906-346-9275
Practice Address - Fax:906-346-5616
Is Sole Proprietor?:No
Enumeration Date:2014-05-21
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801096552104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6801096552OtherMICHIGAN LICENSE NUMBER