Calla Wellness Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34004717A Issued in IN

Legal business name

CALLA WELLNESS CENTER, LLC

Doing business as

Calla Wellness Center

Practice address

164 Sagamore Pkwy W
West Lafayette, IN 47906-1569

Phone

(765) 276-8642

NPI assigned

Sep 9, 2015

Organization subpart

No

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

Authorized official

Name

Lisa B Werth, LCSW

Title

Co-Owner

Phone

(765) 427-5758

Specialties & licenses 2

Addresses

Other names 1

• Calla Wellness Center Doing business as

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1447628367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 SAGAMORE PKWY W",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061569",
            "telephone_number": "765-276-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 SAGAMORE PKWY W",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061569",
            "telephone_number": "765-276-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLA WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "WERTH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "765-427-5758",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004717A",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "890736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calla Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Byers, MOT OTR
• Marcilena Cabello
• Jeffrey S. Cahoon, MD
• Yun Cai
• Calla Clinic, LLC
• Taja Calvin
• Deanna Campbell, RD
• Kaydence Campos
• Janet Canino, PH.D., LMFT
• Brea Carlson, CCC-SLP, IBCLC

• Clinical Social Worker in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.