Provider Demographics
NPI:1902575558
Name:WOLOWSKI, CAITLIN E (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:E
Last Name:WOLOWSKI
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8972 DAISY CT
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-4738
Mailing Address - Country:US
Mailing Address - Phone:812-212-0470
Mailing Address - Fax:
Practice Address - Street 1:8972 DAISY CT
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-4738
Practice Address - Country:US
Practice Address - Phone:812-212-0470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34006352A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical