Penny Henrietta Calderazzo, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0701611 Issued in NY

Practice address

516 Chestnut St
Ithaca, NY 14850-3015

Phone

(607) 592-5746

NPI assigned

Jun 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Henrietta Penny Calderazzo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1649210527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 CHESTNUT ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503015",
            "telephone_number": "607-592-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 CHESTNUT ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503015",
            "telephone_number": "607-592-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERAZZO",
        "first_name": "PENNY",
        "middle_name": "HENRIETTA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0603851",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0701611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HENRIETTA",
            "last_name": "CALDERAZZO",
            "middle_name": "PENNY",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Matthew John Byers, PT
• Joseph K Bylebyl, MD
• Leslie Davis Byron, PHD
• Leo R Cacciotti, DDS
• Kim Paulette Caforio-Nunciato, LMSW
• Jayda E Calhoun, LMHC
• Calibrated Chiropractic PLLC
• George Eugene Cameron, PAC
• Kathleen A Camilli, RN
• Pauline Ann Cammarata

• Social Worker in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.