Kim Caldwell

Primary specialty

Social WorkerTaxonomy code 104100000X

License

8677 Issued in LA

Practice address

3221 Behrman PL
Suite 201
New Orleans, LA 70114-8200

Phone

(504) 263-2800

Fax

(504) 263-2821

NPI assigned

Apr 20, 2016

Last updated

Apr 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Divine Intervention Rehabilitation, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Orleans, LA
  • NPI 1346524378
  NPD (past)

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1801240411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 BEHRMAN PL",
            "address_2": "SUITE 201",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701148200",
            "telephone_number": "504-263-2800",
            "fax_number": "504-263-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 BEHRMAN PL",
            "address_2": "SUITE 201",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701148200",
            "telephone_number": "504-263-2800",
            "fax_number": "504-263-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "KIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "8677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104100000X",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Calato
• Calche Surgery Center
• Jose Calderon-Abbo, MD
• Darnell Dordain Caldwell
• Gretchen Guderian Caldwell, CRNA,DNP
• Stephen Caldwell
• Eugeniu Calenici, MD
• Josefina Deleon Caleon, RN
• Luisito Caleon, MD, MPH
• Andrew Dawson Calhoun, MD

• Social Worker in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.