Mary Calderon, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MARY CALDERON, LCSW, LLC

Practice address

3990 Collins Way
Suite #202
Lake Oswego, OR 97035-3480

Phone

(503) 675-2830

Fax

(503) 675-2852

NPI assigned

Jul 29, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Mary Calderon, LCSW

Title

Licensed Clinical Social Worker

Phone

(503) 675-2830

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1790941862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 COLLINS WAY",
            "address_2": "SUITE #202",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353480",
            "telephone_number": "503-675-2830",
            "fax_number": "503-675-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 COLLINS WAY",
            "address_2": "SUITE #202",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353480",
            "telephone_number": "503-675-2830",
            "fax_number": "503-675-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY CALDERON, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "503-675-2830",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.