Caitlin Van Wagenen, is a
Social Worker - Clinical based in Roseburg, Oregon. Caitlin Van Wagenen is licensed to practice in Oregon (license number L11752) and her current practice location is
621 W Madrone St, Roseburg, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 672-2691.
NPI number for Caitlin Van Wagenen is 1639703887 and her current mailing address is Po Box 1121, Roseburg, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639703887.
Healthcare Provider's Profile
Full Name | Caitlin Van Wagenen |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 621 W Madrone St, Roseburg, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639703887
- Provider Enumeration Date: 02/26/2020
- Last Update Date: 04/04/2024
Medical Identifiers
Medical identifiers for Caitlin Van Wagenen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639703887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 21-QMHP-R-0533 (Oregon) | Secondary |
1041C0700X | Social Worker - Clinical | L11752 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Caitlin Van Wagenen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Caitlin Van Wagenen, Po Box 1121, Roseburg, OR 97470-0254 Ph: () - | Caitlin Van Wagenen, 621 W Madrone St, Roseburg, OR 97470-3090 Ph: (541) 672-2691 |
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