Whalio Doctors

NPI 1013167311

Elijah Caldwell, LCSW

Practitioner Clinical Social Worker Waterbury, CT

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
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 008201 (CT)
Family Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 5149 (CT)

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.