| A Place Caldwell | |
|
9711 David Taylor Dr Charlotte NC 28262-2366 | |
| (980) 202-9064 | |
| Not Available |
| Full Name | A Place Caldwell |
|---|---|
| Speciality | Social Worker |
| Location | 9711 David Taylor Dr, Charlotte, North Carolina |
| Authorized Official Name and Position | Saiona Caldwell (OWNER) |
| Authorized Official Contact | 9802029064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Place Caldwell 12410 Stowe Acres Dr Charlotte NC 28262-1001 Ph: () - | A Place Caldwell 9711 David Taylor Dr Charlotte NC 28262-2366 Ph: (980) 202-9064 |
| NPI Number | 1275007650 |
|---|---|
| Provider Enumeration Date | 01/18/2019 |
| Last Update Date | 04/15/2020 |
| Certification Date | 04/15/2020 |
| Medicare PECOS PAC ID | 6507199957 |
|---|---|
| Medicare Enrollment ID | O20190618000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275007650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Saiona Caldwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144543950 PECOS PAC ID: 7810279163 Enrollment ID: I20170120001286 |
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