Active NPI
Teresa A. Caldwell, MSW, LICSW
- Clinical Social Worker
- Otis, MA
National Provider Identifier
1124235643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 112119
- Practice address
- 234 Tyringham Rd
Otis, MA 01253 - Phone
- (413) 429-1674
- Fax
- (413) 269-4265
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 112119 | MA | Primary |
| Clinical Social Worker | 1041C0700X | 002701 | MO |
Addresses
Primary practice location
234 Tyringham Rd
Otis, MA 01253
Mailing address
PO Box 268
Monterey, MA 01245-0268
Phone (413) 429-1674
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
| License | State | Type | Specialty |
|---|---|---|---|
| 112119 | MA | MD | Clinical Social Worker |
| 002701 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1124235643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268",
"city": "MONTEREY",
"state": "MA",
"postal_code": "012450268",
"telephone_number": "413-429-1674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 TYRINGHAM RD",
"city": "OTIS",
"state": "MA",
"postal_code": "01253",
"telephone_number": "413-429-1674",
"fax_number": "413-269-4265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "TERESA",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "112119",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "002701",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Otis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.