Caitlin Rose Tharaldson, MSW, LICSW
NPI 1275988305ActiveIndividual· Social Worker, Clinical· Saint Paul, MN
Social Worker, Clinical (MSW, LICSW) with Virta Therapy Collective LLC, practicing in Saint Paul, Minnesota. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1275988305 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, LICSW |
| Sole proprietor | No |
| NPI issued | Apr 26, 2016 |
| Last updated in NPPES | Dec 16, 2024 |
| Certified by provider | Dec 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 22855 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Virta Therapy Collective LLCSaint Paul, MN · 10 clinicians
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