NPI 1013167311
Elijah Caldwell, LCSW
Practice location
- Address
- 60 N Main St 3rd Flr, Waterbury, CT 06702-1443
- Phone
- (203) 437-8896
- Mailing address
- 60 N Main St 3rd Flr., Waterbury, CT 06702-1443
Registered specialties (2)
Clinical Social Worker
Primary
Family Nurse Practitioner
Registry record
- NPI
- 1013167311
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Sep 2008
- Record last updated
- 11 Jan 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.