Individual provider Active NPI

Caleb John Howald, LCSW

  • Clinical Social Worker
  • Broomfield, CO
National Provider Identifier
1841715935
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09926591 Issued in CO
Practice address
11992 Ridge Pkwy Apt 304
Broomfield, CO 80021-5154
Phone
(303) 481-3491
Fax
(303) 481-3491
NPI assigned
Aug 9, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09926591 CO Primary

Addresses

Primary practice location

11992 Ridge Pkwy Apt 304
Broomfield, CO 80021-5154

Mailing address

11992 Ridge Pkwy Apt 304
Broomfield, CO 80021-5154
Phone (217) 294-0660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20200924003201 CO Practitioner - Clinical Social Worker 9335566306 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09926591COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Headway Colorado Behavioral Health Services, Inc. CurrentSince Nov 14, 2024 Accepting new patients
New Terrain Therapy Clinical CurrentSince Jun 12, 2022 Accepting new patients

Locations

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

11178 Huron St
Ste 201
Northglenn, CO 80234
Phone (303) 481-3491

205 Hudson St
Fl 9
New York, NY 10013
Phone (631) 488-0609

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1841715935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11992 RIDGE PKWY APT 304",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800215154",
            "telephone_number": "217-294-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11992 RIDGE PKWY APT 304",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800215154",
            "telephone_number": "303-481-3491",
            "fax_number": "303-481-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWALD",
        "first_name": "CALEB",
        "middle_name": "JOHN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-09",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.