Active NPI
Caldwell Family Counseling, LLC
- Community/Behavioral Health Agency
- Bloomsburg, PA
National Provider Identifier
1790080331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- CW015549
- Legal business name
- CALDWELL FAMILY COUNSELING, LLC
- Practice address
- 457 Ridge St
Bloomsburg, PA 17815-3371 - Phone
- (570) 441-4623
- Fax
- (570) 356-2207
- NPI assigned
- Jan 12, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise Diane Caldwell, LCSW
- Title
- Owner
- Phone
- (570) 441-4623
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | CW015549 | PA | Primary |
Addresses
Primary practice location
457 Ridge St
Bloomsburg, PA 17815-3371
Mailing address
PO Box 692
Bloomsburg, PA 17815-0692
Phone (570) 441-4623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019912710001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
457 Ridge St
Bloomsburg, PA 17815
Phone (570) 244-4188
336 Main St
Catawissa, PA 17820
Phone (570) 356-2206
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Catawissa, PA
- NPI 1700096682
-
- Clinical Social Worker
- Sunbury, PA
- NPI 1861799769
-
- Professional Counselor
- Bloomsburg, PA
- NPI 1245679042
-
- Professional Counselor
- Bloomsburg, PA
- NPI 1740651785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438819200000",
"number": "1790080331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 692",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178150692",
"telephone_number": "570-441-4623",
"fax_number": "570-356-2207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457 RIDGE ST",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178153371",
"telephone_number": "570-441-4623",
"fax_number": "570-356-2207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALDWELL FAMILY COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-12",
"last_updated": "2015-08-06",
"status": "A",
"authorized_official_last_name": "CALDWELL",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "DIANE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-441-4623",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "CW015549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019912710001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.