Individual provider Active NPI

Raina W Caldwell

  • Social Worker
  • Shreveport, LA
National Provider Identifier
1063868750
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
15474 Issued in LA
Practice address
277 Harders Crossing Blvd
Shreveport, LA 71106-8526
Phone
(318) 840-7810
NPI assigned
May 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 15474 LA Primary

Addresses

Primary practice location

277 Harders Crossing Blvd
Shreveport, LA 71106-8526

Mailing address

277 Harders Crossing Blvd
Shreveport, LA 71106-8526
Phone (318) 840-7810

Other identifiers 1

IdentifierTypeStateIssuer
72-1307411OtherLATAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15474LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Services of Northwest Louisiana, LLC CurrentSince Jun 25, 2023 Accepting new patients
Success Counseling Services North Dba Success Insite Past Accepting new patients

Locations

1000 Chinaberry Dr
Ste 900
Bossier City, LA 71111
Phone (318) 746-0420

1301 Youree Dr
Shreveport, LA 71101
Phone (318) 675-0804

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1063868750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 HARDERS CROSSING BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711068526",
            "telephone_number": "318-840-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 HARDERS CROSSING BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711068526",
            "telephone_number": "318-840-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "RAINA",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "15474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "72-1307411",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.