Cleveland Caldwell, CDCA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Batavia, OH
NPI 1124743083 · NPPES record last updated Oct 4, 2022
Key facts
- NPI
- 1124743083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CDCA.179469 (OH)
- Practice address
- 1100 Hospital Dr
Batavia, OH 45103-1920 - Phone
- (833) 510-4357
- Fax
- (866) 460-2997
- NPI assigned
- Oct 4, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.179469 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.179469 | OH | Yes |
Addresses
Primary practice location
1100 Hospital Dr
Batavia, OH 45103-1920
Mailing address
615 Elsinore PL
Cincinnati, OH 45202-1459
Phone (833) 510-4357
Other providers in Batavia, OH
- Vanessa Bundy
- Sheri Keller Burdick
- Kimberly Burton
- Jamie Busch
- Cabrito Medical LLC
- Hannah Marie Calvert
- Megan Cameron
- Andrew N Campbell
- Tracee Lynn Campbell
- Lisa Marie Cantor-Jacobson
All providers in Batavia, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.