MR. ELIJAH CALDWELL LCSW NPI 1013167311

Social Worker (Clinical) in Waterbury, CT

NPI 1013167311 Individual Male Social Worker Clinical

About ELIJAH CALDWELL

Elijah Caldwell is a provider established in Waterbury, Connecticut and his medical specialization is social worker (clinical) . The NPI number of Elijah Caldwell is 1013167311 and was assigned on September 2008. The practitioner's primary taxonomy code is 1041C0700X with license number 008201 (CT). The provider is registered as an individual and his NPI record was last updated 5 years ago.

A clinical social worker like Mr. Elijah Caldwell Lcsw is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Elijah Caldwell is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1013167311

Provider NameMR. ELIJAH CALDWELL LCSW
Provider Location Address60 N MAIN ST 3RD FLR WATERBURY, CT 06702
Provider Mailing Address60 N MAIN ST 3RD FLR. WATERBURY, CT 06702
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date09-23-2008
Last Update Date01-11-2017


Primary Taxonomy

Taxonomy Code1041C0700X
ClassificationSocial Worker
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.008201
License StateCT
Taxonomy DescriptionA social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Business Address

MR. ELIJAH CALDWELL LCSW
60 N MAIN ST
3RD FLR
WATERBURY, CT
ZIP 06702
Phone: (203) 437-8896

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Mailing Address

MR. ELIJAH CALDWELL LCSW
60 N MAIN ST
3RD FLR.
WATERBURY, CT
ZIP 06702
Phone: (203) 437-8896



Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily5149CTNo

Taxonomy Description: Not Available

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
004040655MEDICAID (05)CT
008042640MEDICAID (05)CT

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003280157A PROSPERING VISION HOLISTIC MEDICAL SERVICES, LLC
Organization
Nurse Practitioner60 N MAIN ST 3RD FLR
WATERBURY, CT 06702
(203) 558-9865
1134504715 NICHOLAS JAMES O'BRIEN PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)60 N MAIN ST 3RD FLOOR
WATERBURY, CT 06702
(203) 437-8896
1699093492 JODY LYNN ZENKUS MSW
Individual
Social Worker (Clinical)60 N MAIN ST
WATERBURY, CT 06702
(203) 437-8896
1932473527A PROSPERING VISION, LLC
Organization
Social Worker (Clinical)60 N MAIN ST 3RD FLR
WATERBURY, CT 06702
(203) 558-9865
1871037564 FRANCISCO CAMACHO LMSW
Individual
Social Worker (Clinical)60 N MAIN ST 3RD FLOOR
WATERBURY, CT 06702
(203) 437-8896

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.