Charles Adren Caldwell Sr., CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00002642 Issued in WA

Practice address

32118 32ND Ave SW
Federal Way, WA 98023-2206

Phone

(206) 322-7676

Fax

(206) 726-7585

NPI assigned

Apr 6, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1982960688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32118 32ND AVE SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232206",
            "telephone_number": "206-322-7676",
            "fax_number": "206-726-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32118 32ND AVE SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232206",
            "telephone_number": "206-322-7676",
            "fax_number": "206-726-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "CHARLES",
        "middle_name": "ADREN",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00002642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Caggiano
• Kaitlin Grace Cain
• Marsha Lynn Cain, MD
• Kelvin Calamiong
• Jenny Rose Calayag, PHARMD
• Krushina N Cales
• Jerry Lynn Calhoun, DDS
• Deborah Ann Call
• Robyn Marie Callahan, MSW, LICSW
• William G Callahan, MD

• Addiction (Substance Use Disorder) Counselor in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.