Provider Demographics
NPI:1477899052
Name:YECKER, CAITLIN LEE (MSW, LICSW, LCSW)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:LEE
Last Name:YECKER
Suffix:
Gender:F
Credentials:MSW, LICSW, LCSW
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:LEE
Other - Last Name:BARTLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LICSW, LCSW
Mailing Address - Street 1:105 WEBSTER ST STE 5
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-1227
Mailing Address - Country:US
Mailing Address - Phone:508-536-8469
Mailing Address - Fax:
Practice Address - Street 1:105 WEBSTER ST STE 5
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-1227
Practice Address - Country:US
Practice Address - Phone:508-536-8469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-30
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW139461041C0700X
MALICSW1251251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical