Provider Demographics
NPI:1063211183
Name:THORP, CAITLIN (LADCI)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:THORP
Suffix:
Gender:
Credentials:LADCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 WHITING ST
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-1347
Mailing Address - Country:US
Mailing Address - Phone:617-383-1496
Mailing Address - Fax:
Practice Address - Street 1:134 WHITING ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-1347
Practice Address - Country:US
Practice Address - Phone:617-383-1496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA23186101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)