Mr Elijah Caldwell, LCSW is a
Social Worker - Clinical based in Waterbury, Connecticut. Mr Elijah Caldwell is licensed to practice in Connecticut (license number 008201) and his current practice location is
60 N Main St, 3rd Flr, Waterbury, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(203) 437-8896.
NPI number for Mr Elijah Caldwell is 1013167311 and his current mailing address is 60 N Main St, 3rd Flr., Waterbury, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013167311.
Provider's Profile
| Full Name | Mr Elijah Caldwell |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 60 N Main St, Waterbury, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1013167311
- Provider Enumeration Date: 09/23/2008
- Last Update Date: 01/11/2017
Medical Identifiers
Medical identifiers for Mr Elijah Caldwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013167311 | NPI | - | NPPES |
| 008042640 | Medicaid | CT | |
| 004040655 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 5149 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 008201 (Connecticut) | 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 Elijah Caldwell 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 Elijah Caldwell, LCSW
60 N Main St, 3rd Flr.,
Waterbury, CT 06702-1443
Ph: (203) 437-8896 | Mr Elijah Caldwell, LCSW
60 N Main St, 3rd Flr,
Waterbury, CT 06702-1443
Ph: (203) 437-8896 |
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