Caldera Psychotherapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CALDERA PSYCHOTHERAPY PLLC

Practice address

522 W Riverside Ave Ste N
Spokane, WA 99201-0580

Phone

(360) 800-9510

NPI assigned

Jan 19, 2022

Organization subpart

No

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

Authorized official

Name

Susan Poznyansky, LICSWNPI 1205257045

Title

Owner/ Provider

Phone

(360) 800-9510

Specialties & licenses 1

Addresses

Other names 1

• Susan Poznyansky Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Poznyansky

  • Clinical Social Worker
  • Hoodsport, WA
  • NPI 1205257045
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642809600000",
    "number": "1245982453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1002",
            "city": "HOODSPORT",
            "state": "WA",
            "postal_code": "985481002",
            "telephone_number": "360-800-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE STE N",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010580",
            "telephone_number": "360-800-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDERA PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A",
        "authorized_official_last_name": "POZNYANSKY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "360-800-9510",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan Poznyansky",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alicia Brianne Cairns, CRNA
• Caitlin Soriano, LMHC, LLC
• James Calamia, DO
• Courtney Clark-Rivera Calaway, LICSW
• Hayden E Calaway
• Melissa Caldie
• Anntonette R Caldwell
• Ashley Caldwell
• Katherine Elizabeth Caldwell
• Sabrina L Caldwell, LMP

• Clinical Social Worker in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.