Jessica Lauren Calderon

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1681 N Laurel St Apt 217
Boise, ID 83706-1708

Phone

(208) 850-6427

NPI assigned

May 1, 2025

Last updated

May 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Columbia River Mental Health Services

  dba Columbia River Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vancouver, WA
  • NPI 1669411377
  NPD (past)

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1437948908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 N LAUREL ST APT 217",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061708",
            "telephone_number": "208-850-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 N LAUREL ST APT 217",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061708",
            "telephone_number": "208-850-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "JESSICA",
        "middle_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Lane Cadwallader, M.D.
• Nikola Ann Cafarelli, PA
• Ashley Bryn Cafferty, PA-C
• Tiffany Calas, PHARMD
• James Sam Calderhead, MA
• Madison Caldwell, ACMHC, PCLC, LCPC
• Ryan Theodore Caldwell
• Jenna Calhoun, DPT
• Robert F. Calhoun, PHD
• William W Calhoun

• Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.