Active NPI
Gregory M Caldwell, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1700938743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 077817
- Practice address
- 50 W 97TH St
#1B
New York, NY 10025-6053 - Phone
- (646) 896-4945
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 077817 | NY | Primary |
Addresses
Primary practice location
50 W 97TH St
#1B
New York, NY 10025-6053
Mailing address
225 West 106TH Street
Apt 5C
New York, NY 10025
Phone (646) 896-4945
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077817 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mikhail Volokitin Medical P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- New York, NY
- NPI 1306013511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312502400000",
"number": "1700938743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 WEST 106TH STREET",
"address_2": "APT 5C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "646-896-4945",
"fax_number": "845-340-7314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 W 97TH ST",
"address_2": "#1B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256053",
"telephone_number": "646-896-4945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "GREGORY",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2011-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "077817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.