Provider Demographics
NPI:1427257054
Name:OGILVIE, CAITLYN ELIZABETH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CAITLYN
Middle Name:ELIZABETH
Last Name:OGILVIE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CAITLYN
Other - Middle Name:ELIZABETH
Other - Last Name:STEELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:15 PHEASANT RUN DR
Mailing Address - Street 2:
Mailing Address - City:GALES FERRY
Mailing Address - State:CT
Mailing Address - Zip Code:06335-2019
Mailing Address - Country:US
Mailing Address - Phone:860-227-7261
Mailing Address - Fax:
Practice Address - Street 1:24 GALLUP HILL RD
Practice Address - Street 2:
Practice Address - City:LEDYARD
Practice Address - State:CT
Practice Address - Zip Code:06339
Practice Address - Country:US
Practice Address - Phone:860-464-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
CT58.0072921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker