Active NPI
Wade Caldwell
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1821687237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 107273
- Practice address
- 35 Hart St Apt 1
Brooklyn, NY 11206-6458 - Phone
- (717) 503-1997
- NPI assigned
- Jan 12, 2021
- 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 | 107273 | NY | Primary |
Addresses
Primary practice location
35 Hart St Apt 1
Brooklyn, NY 11206-6458
Mailing address
35 Hart St Apt 1
Brooklyn, NY 11206-6458
Phone (717) 503-1997
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107273 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1821687237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 HART ST APT 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112066458",
"telephone_number": "717-503-1997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 HART ST APT 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112066458",
"telephone_number": "717-503-1997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "WADE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-12",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "107273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.