Provider Demographics
NPI:1578446944
Name:DUGAN, CAITLIN MARIE (MSW, PPSC-SW)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:MARIE
Last Name:DUGAN
Suffix:
Gender:F
Credentials:MSW, PPSC-SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2423 CEANOTHUS AVE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1608
Mailing Address - Country:US
Mailing Address - Phone:510-512-8891
Mailing Address - Fax:
Practice Address - Street 1:95 DECLARATION DR
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-4916
Practice Address - Country:US
Practice Address - Phone:510-512-8891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW1287911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical