Elijah Caldwell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008201 Issued in CT

Practice address

60 N Main St
3Rd FLR
Waterbury, CT 06702-1443

Phone

(203) 437-8896

NPI assigned

Sep 23, 2008

Last updated

Jan 11, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Prospering Vision Holistic Medical Services, LLC

  • Nurse Practitioner
  • Waterbury, CT
  • NPI 1003280157
  NPD (past) Authorized official
• A Prospering Vision, LLC

  • Clinical Social Worker
  • Waterbury, CT
  • NPI 1932473527
  Authorized official Same address or phone
• Home of Hope, Inc.

  • Clinical Social Worker
  • Waterbury, CT
  • NPI 1215343413
  NPD (past) Authorized official

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1013167311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N MAIN ST",
            "address_2": "3RD FLR.",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021443",
            "telephone_number": "203-437-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N MAIN ST",
            "address_2": "3RD FLR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021443",
            "telephone_number": "203-437-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "ELIJAH",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "5149",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008042640",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004040655",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eudocia Antonia Cabello, M.D.
• Barbara Cable, LCSW
• Dennis Caffrey, MD
• Rebecca G Calabrese, LCSW
• Quennie Lynn Tabaranza Calago, PT
• Sarah Caliguire, OD, MS
• Geovannie Calingacion
• Dana Robyn Callahan, LCSW
• Yael Maritza Calle
• Glenda Grace Callender, MD

• Clinical Social Worker in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.