Mr Sebastian David Calderon, LMSW is a
Social Worker based in Burley, Idaho. Mr Sebastian David Calderon is licensed to practice in Idaho (license number 6471144) and his current practice location is
1360 Albion Ave, Burley, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 878-7008.
NPI number for Mr Sebastian David Calderon is 1639853286 and his current mailing address is 740 W 176 Ln S, Paul, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639853286.
Healthcare Provider's Profile
| Full Name | Mr Sebastian David Calderon |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 1360 Albion Ave, Burley, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639853286
- Provider Enumeration Date: 06/14/2023
- Last Update Date: 01/29/2025
Medical Identifiers
Medical identifiers for Mr Sebastian David Calderon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639853286 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 6471144 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Sebastian David Calderon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Sebastian David Calderon, LMSW
740 W 176 Ln S,
Paul, ID 83347-8697
Ph: (208) 650-5822 | Mr Sebastian David Calderon, LMSW
1360 Albion Ave,
Burley, ID 83318-1818
Ph: (208) 878-7008 |
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