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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. CAITLIN ROSE WALLER LCSW
NPI 1689072514
Social Worker - Clinical in St Augustine, FL

Active since December 09, 2014
111 PALISADE DR, ST AUGUSTINE, FL 32092(904) 422-2367 Get Directions Write a Review

NPPES record last updated: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 30, 2026, Sep 29, 2016 (2 updates tracked since 2016).

About Mrs. Caitlin Rose Waller Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CAITLIN ROSE WALLER LCSW (NPI 1689072514) is an individual clinical provider in St Augustine, Florida, licensed in Florida (SW13916) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1689072514
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. CAITLIN ROSE WALLERCredential: LCSW
Location Address111 PALISADE DRSt Augustine, FL 32092-1248
Mailing Address111 Palisade DrSt Augustine, FL 32092-1248 · (904) 422-2367
Phone(904) 422-2367
Sole ProprietorNo
Enumeration DateDecember 9, 2014
Last NPPES UpdateOctober 30, 20262 updates tracked since enumeration
NPPES CertifiedOctober 30, 2026
✔ NPI 1689072514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW13916
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
111 PALISADE DR, St Augustine, FL 32092
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Other Names 1

Former Name (1)Miss Caitlin Rose Bloom Msw, Rcswi

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caitlin Waller's NPI number?

The NPI number for Caitlin Waller is 1689072514. It was assigned to this individual provider in the NPPES registry on December 9, 2014. The provider is also known as Miss Caitlin Rose Bloom Msw, Rcswi.

Where is Caitlin Waller located?

Caitlin Waller practices at 111 Palisade Dr, St Augustine, FL 32092. The listed phone number is (904) 422-2367.

What is Caitlin Waller's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Caitlin Waller was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.