Provider Demographics
NPI:1336514314
Name:HODZA, CAITLIN (MS, LPC)
Entity type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:
Last Name:HODZA
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:SULLIVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:712 LEXINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:CT
Mailing Address - Zip Code:06801-1336
Mailing Address - Country:US
Mailing Address - Phone:203-695-5762
Mailing Address - Fax:
Practice Address - Street 1:77 WEST ST
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6528
Practice Address - Country:US
Practice Address - Phone:203-695-5762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-02
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT101YS0200X
CT5832101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool