Individual provider Active NPI

Jeffrey Chandler Caldwell, MSW, LICSW, PIP

  • Clinical Social Worker
  • Birmingham, AL
National Provider Identifier
1538548995
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4068C Issued in AL
Practice address
1687 Center Point Pkwy Ste 121
Birmingham, AL 35215-5525
Phone
(205) 557-7022
Fax
(205) 831-2849
NPI assigned
May 19, 2015
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X 4068C AL Primary

Addresses

Primary practice location

1687 Center Point Pkwy Ste 121
Birmingham, AL 35215-5525

Mailing address

PO Box 746063
Atlanta, GA 30374-6063

Other practice location 1

3000 Southlake Park
Suite 100
Birmingham, AL 35244-3608
Phone (205) 987-0724

Other practice location 2

633 Tuscaloosa Ave SW
Birmingham, AL 35211-1637
Phone (205) 235-4003

Other practice location 3

3065 Dauphin St
Mobile, AL 36606-4040
Phone (251) 271-7017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190815002079 AL Practitioner - Clinical Social Worker 2264769165 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4068CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Board of Chilton and Shelby Counties Inc CurrentSince Sep 2, 2024 Accepting new patients
Mental Health Board of Chilton and Shelby Counties Inc CurrentSince Sep 2, 2024 Accepting new patients

Locations

151 Hamilton Ln
Calera, AL 35040
Phone (205) 668-1313

2100 County Services Dr
Pelham, AL 35124
Phone (205) 651-0077

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/centralalabamawellness/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1538548995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746063",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 CENTER POINT PKWY STE 121",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352155525",
            "telephone_number": "205-557-7022",
            "fax_number": "205-831-2849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Southlake Park",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352443608",
            "country_code": "US",
            "telephone_number": "205-987-0724",
            "fax_number": "205-987-0726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "633 Tuscaloosa Ave SW",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111637",
            "country_code": "US",
            "telephone_number": "205-235-4003",
            "fax_number": "205-941-8071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3065 Dauphin St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366064040",
            "country_code": "US",
            "telephone_number": "251-271-7017",
            "fax_number": "251-220-5536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "JEFFREY",
        "middle_name": "CHANDLER",
        "name_prefix": "Mr.",
        "credential": "MSW, LICSW, PIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-19",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4068C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.