Caldwell Psychotherapy Center, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

090400280 Issued in VA

Legal business name

CALDWELL PSYCHOTHERAPY CENTER, PC

Practice address

1984 Isaac Newton SQ W Ste 204
Reston, VA 20190-5040

Phone

(703) 863-6140

NPI assigned

Nov 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert David Caldwell, LICSW

Title

Owner

Phone

(202) 298-8311

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1255512307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 ISAAC NEWTON SQ W STE 204",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905040",
            "telephone_number": "703-863-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 ISAAC NEWTON SQ W STE 204",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905040",
            "telephone_number": "703-863-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL PSYCHOTHERAPY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-298-8311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC302452",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "090400280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "766367ZBR9 G02714",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "766367ZBR9 G02714",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Michael Butler, MD
• Katherine Butters
• Leah Byars, DDS
• Sarah Cabrisses
• Caldwell Psychotherapy Center PLLC
• Robert David Caldwell IV, LICSW
• Stacey Cali, PLPC
• Liliana Calkins
• Kara Callaghan, LPC
• Catherine Nowell Cameron, PA

• Clinical Social Worker in Reston, VA
• Providers in Reston, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.