Individual provider Active NPI

Joslyn Shante Caldwell, LMSW-C

  • Clinical Social Worker
  • Livonia, MI
National Provider Identifier
1639609662
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801105990 Issued in MI
Practice address
39111 6 Mile Rd
Livonia, MI 48152-3926
Phone
(734) 224-3889
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801101156 MI
Clinical Social Worker 1041C0700X 6801105990 MI Primary

Addresses

Primary practice location

39111 6 Mile Rd
Livonia, MI 48152-3926

Mailing address

PO Box 743
Inkster, MI 48141-0743
Phone (734) 224-3889

Other names 1

  • Joslyn Harris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801101156MIMDClinical Social Worker
6801105990MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Human Services PLLC Clinical CurrentSince Mar 24, 2024 Accepting new patients
Ismail B. Sendi, MD, PC Past Accepting new patients
Ismail B. Sendi, MD, PC PastSince Oct 26, 2015 Accepting new patients

Locations

39111 6 Mile Rd
Unit 503
Livonia, MI 48152

39111 6 Mile Rd
Livonia, MI 48152
Phone (810) 882-1194

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1639609662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481410743",
            "telephone_number": "734-224-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39111 6 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523926",
            "telephone_number": "734-224-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "JOSLYN",
        "middle_name": "SHANTE",
        "name_prefix": "Mrs.",
        "credential": "LMSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801101156",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801105990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSLYN",
            "last_name": "HARRIS",
            "credential": "LMSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.