CAITLIN AMANDA KEPTNER (LCSW) – Clinical Social Worker, NPI 1013255074

CAITLIN AMANDA KEPTNER (LCSW) is a healthcare provider. based in Tacoma, Washington. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. LW60687765 (WA). The NPI Number for CAITLIN AMANDA KEPTNER (LCSW) is 1013255074

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
CAITLIN AMANDA KEPTNER (LCSW)
NPI
1013255074
Phone
(253) 968-4157
Address
9040 JACKSON AVE
Enumeration Date
26 January 2013
Last Update Date
17 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7855278271
Graduation Year
2010 (16 years ago)
PAC ID
1759678030
Group Practice PAC ID
4183055270
Professional Enrollment ID
I20221117001771
Address ID
KS669352238BE1913XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:13State licenses:3Digital endpointsOther names

1,397 CLINICAL SOCIAL WORKER in WA

Provider Addresses for CAITLIN AMANDA KEPTNER (LCSW)

  • 9040 JACKSON AVE

    TACOMA, WA 984312858

    Phone: (253) 968-4157

    Type: Location

  • 720 POYNTZ AVE

    MANHATTAN, KS 665026355

    Phone: (785) 320-7331

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200623001242IClinical Social WorkerWATBD
I20221117001771IClinical Social WorkerKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98431)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183055270View full group profile
NameSpecialtyState
Clinical Social WorkerKS
Clinical Social WorkerOK
Clinical Social WorkerKS
Mental Health CounselorKS
Mental Health CounselorKS
Mental Health CounselorKS
Nurse PractitionerMS
Clinical Social WorkerKS
Clinical Social WorkerKS

Reviews

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Frequently asked questions

Where can patients find CAITLIN AMANDA KEPTNER (LCSW)'s NPI?
You can confirm CAITLIN AMANDA KEPTNER (LCSW) with NPI 1013255074; it appears in the national provider directory.
Is CAITLIN AMANDA KEPTNER (LCSW) active in the national directory?
CAITLIN AMANDA KEPTNER (LCSW)'s public NPI profile is in an active state.
What kind of provider is CAITLIN AMANDA KEPTNER (LCSW)?
The page reflects Clinical Social Worker for CAITLIN AMANDA KEPTNER (LCSW). Clinical services aligned with this taxonomy classification.
Where does public data place CAITLIN AMANDA KEPTNER (LCSW)?
The snapshot lists Tacoma, Washington for CAITLIN AMANDA KEPTNER (LCSW); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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