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Caitlin Breida Connolly

Social Worker

Behavioral Health & Social Service Providers

1229 Cornwall Ave Ste 209, Bellingham, WA 98225-5023

PECOS Enrollment

This provider is enrolled in PECOS as CAITLIN CONNOLLY.

Based on the most recent information from CMS, provider Caitlin Breida Connolly is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1376741595
Provider Type
Individual
Full Name
Connolly, Caitlin Breida
Title
Miss
Credential
MSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/10/2007
Last Updated
7/21/2022

Contact Information

Practice Location

1229 Cornwall Ave Ste 209, Bellingham, WA 98225-5023

(518) 281-8665

Unlisted Fax

Mailing Location

1229 Cornwall Ave Ste 209, Bellingham, WA 98225-5023

(518) 281-8665

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LW60341266 Washington

Caitlin Breida Connolly

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Suni, Heidi

Goodwin, Sheila D

Hilderbrand, Joshua William

Zander, Jennifer Gail

Mcbride, Tonani

Hutchinson, Sara Nicole

Evans, Claire

Spatz, Gerald Thomas

Eolande, Brooke

Gimness, Asher M.