Individual provider Active NPI

Elizabeth Caldwell

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1801202429
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C010223 Issued in NC
Practice address
2931 Breezewood Ave Ste 200
Fayetteville, NC 28303-5281
Phone
(910) 489-9036
NPI assigned
Jul 2, 2014
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 21289 NC
Professional Counselor 101YP2500X QS135516 NC
Clinical Social Worker 1041C0700X C010223 NC Primary

Addresses

Primary practice location

2931 Breezewood Ave Ste 200
Fayetteville, NC 28303-5281

Mailing address

2539 McArthur Landing Cir Apt 102
Fayetteville, NC 28311-9019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200129003117 NC Practitioner - Clinical Social Worker 6709210537 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21289NCMDAddiction (Substance Use Disorder) Counselor
QS135516NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Counseling and Consulting Services, PLLC Addiction (Substance Use Disorder) CurrentSince Mar 20, 2015 Accepting new patients
Caldwell and Associates Behavior Health, LLC Past Accepting new patients

Locations

2931 Breezewood Ave
Ste 200
Fayetteville, NC 28303
Phone (910) 489-9036

2940 Breezewood Ave
Fayetteville, NC 28303
Phone (910) 748-0833

2940 Breezewood Ave
Ste 200
Fayetteville, NC 28303

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1801202429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 MCARTHUR LANDING CIR APT 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 BREEZEWOOD AVE STE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035281",
            "telephone_number": "910-489-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "21289",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "QS135516",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.