Provider Demographics
NPI:1649829227
Name:HAY, CAITLIN ROSELLE (MSW, LSW)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:ROSELLE
Last Name:HAY
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:973 LYNBROOK RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-3307
Mailing Address - Country:US
Mailing Address - Phone:718-551-2532
Mailing Address - Fax:
Practice Address - Street 1:973 LYNBROOK RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-3307
Practice Address - Country:US
Practice Address - Phone:718-551-2532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-06
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.19040381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty