Mr Robert David Caldwell Iv, LICSW | |
1984 Isaac Newton Sq W Ste 204, Reston, VA 20190-5040 | |
(703) 863-6140 | |
Not Available |
Full Name | Mr Robert David Caldwell Iv |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 37 Years |
Location | 1984 Isaac Newton Sq W Ste 204, Reston, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780890582 | NPI | - | NPPES |
766367ZBR9 G02714 | Other | DC | MEDICARE PTAN |
766367ZBR9 G02714 | Other | VA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC302452 (District Of Columbia) | Secondary |
1041C0700X | Social Worker - Clinical | 090400280 (Virginia) | Primary |
Entity Name | Caldwell Psychotherapy Center Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578137543 PECOS PAC ID: 5991103608 Enrollment ID: O20211011002868 |
Mailing Address | Practice Location Address |
---|---|
Mr Robert David Caldwell Iv, LICSW 1984 Isaac Newton Sq W Ste 204, Reston, VA 20190-5040 Ph: (703) 863-6140 | Mr Robert David Caldwell Iv, LICSW 1984 Isaac Newton Sq W Ste 204, Reston, VA 20190-5040 Ph: (703) 863-6140 |
Ms. Christine Ann Cook, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11701 Bowman Green Dr, Reston, VA 20190 Phone: 703-434-0255 Fax: 703-644-1383 | |
Laura Bennecoff, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1850 Cameron Glen Dr Ste 500, Reston, VA 20190 Phone: 703-559-3000 | |
Joshua Metz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1108 Round Pebble Ln, Reston, VA 20194 Phone: 703-405-4196 | |
Dana Christensen Thompson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11260 Roger Bacon Dr Ste 206, Reston, VA 20190 Phone: 248-425-3775 | |
Vanessa Cheshier, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1850 Cameron Glen Dr Ste 600, Reston, VA 20190 Phone: 703-481-4100 | |
Patricia Hanes Meyer, PATRICIA MEYER, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11800 Sunrise Valley Dr, Suite 312, Reston, VA 20191 Phone: 703-715-2202 Fax: 703-715-2202 | |
Mrs. Gina Lynn Tostenson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1850 Cameron Glen Dr, Suite 500, Reston, VA 20190 Phone: 703-481-4010 Fax: 703-481-1420 |