Individual provider Active NPI

Jalima Kula Caulker, LCSW-C, LICSW, CCM

  • Clinical Social Worker
  • Takoma Park, MD
National Provider Identifier
1003508904
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50080446 Issued in DC
Practice address
7401 New Hampshire Ave Apt 202
Takoma Park, MD 20912-6947
Phone
(240) 484-4121
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16158 MD
Clinical Social Worker 1041C0700X LC50080446 DC Primary

Addresses

Primary practice location

7401 New Hampshire Ave Apt 202
Takoma Park, MD 20912-6947

Mailing address

7401 New Hampshire Ave Apt 202
Takoma Park, MD 20912-6947
Phone (240) 484-4121

Other names 1

  • Jalima Kula Caulker Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 26, 2024 through Nov 26, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC50080446DCMDClinical Social Worker
16158MDMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1003508904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 NEW HAMPSHIRE AVE APT 202",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126947",
            "telephone_number": "240-484-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 NEW HAMPSHIRE AVE APT 202",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126947",
            "telephone_number": "240-484-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAULKER",
        "first_name": "JALIMA",
        "middle_name": "KULA",
        "credential": "LCSW-C, LICSW, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16158",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JALIMA",
            "last_name": "CAULKER",
            "middle_name": "KULA",
            "credential": "LCSW-C, LICSW, CCM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.