Provider Demographics
NPI:1427315381
Name:POWERS, CAITLIN RUTH (MSSW)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:RUTH
Last Name:POWERS
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 VETERANS DR
Mailing Address - Street 2:116A
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-2309
Mailing Address - Country:US
Mailing Address - Phone:612-467-5164
Mailing Address - Fax:612-467-1747
Practice Address - Street 1:1310 24TH AVE S # 122
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-2637
Practice Address - Country:US
Practice Address - Phone:615-730-2750
Practice Address - Fax:615-873-8651
Is Sole Proprietor?:No
Enumeration Date:2012-04-17
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN65021041C0700X
MN191121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical