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Deactivated NPI 1689636029 Deactivated / Inactive NPI Male Practitioner

Michael Caudill , LISW

Social Worker • Cedar Rapids, IA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Caudill has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 03, 2006
NPI Deactivation Date February 05, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Michael Caudill, LISW was a registered Social Worker practicing in Cedar Rapids, IA. Throughout an active medical career spanning 20 years, Michael Caudill provided care at the practice location at 5264 COUNCIL ST NE until profile deactivation on 2026-02-05.

Historical Medicare Part B clinical services included psychotherapy. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

5264 Council St Ne
Ste 400

Cedar Rapids, IA 524022471

Telephone 3193986575
Fax 3193694673
Associated Practice Facility / Clinic
🏢 Mercy Medical Center Facility NPI 1700834165

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Cedar Rapids, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.1 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
68 Specialists

Practicing in Cedar Rapids, IA (1187 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
59 18 $209.00 $74.57

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License IA 02562

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
NPI 1003877895

Doctor of Philosophy (Ph.D.), Licensed Mental Health Counselor

Mckenna O'leary

Counselor - Mental Health

NPI 1053143990
Gretchen Thompson , LISW

Social Worker - Clinical

NPI 1053606251

Licensed Independent Social Worker

Paula Ferring , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1114682705

Psychiatric-Mental Health Nurse Practitioner

Dr. Kassiani Kelleher , DNP, ARNP, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1124709829

Doctor of Nursing Practice, Advanced Registered Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Elizabeth Dunnigan , LMSW

Social Worker - Clinical

NPI 1154878064

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 05, 2026

Record deactivated on February 05, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 5264 COUNCIL ST NE, STE 400, CEDAR RAPIDS, IA 524022471 (Tel: 3193986575)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 1824, CEDAR RAPIDS, IA 524061824 (Tel: 3193694505)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL CAUDILL, LISW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #02562 in IA)

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Initial NPI Registration & Enumeration April 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689636029
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2006
Last Update: July 08, 2007
Deactivation Date: February 05, 2026

Mailing Address

Po Box 1824

Cedar Rapids, IA 524061824

Phone: 3193694505

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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