MARY ANN CALDWELL (NPI# 1629696646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629696646 |
| Entity Type | Individual |
| Full Name | MARY ANN CALDWELL |
| Credential | LCSW |
| Practice Address |
2496 Northwoods Dr. Jacksonville NC 28540 |
| Practice Telephone | 9103818251 |
| Mailing Telephone | 9103818251 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
264 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | LICENSED CLINICAL SOCIAL WORKER | CCSW264 | 01 |
| NC | LICENSED CLINICAL SOCIAL WORKER | CCSW264 | 01 |
| CLINICAL SOCIAL WORKER | 929362 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649541970 | Mary Ellen Caldwell | Dietitian, Registered | 200 Ginkgo Cir, Irving, TX 75063-3481 | 2012-01-18 |
| 1336456789 | Mary E. Caldwell | Social Worker | 752 Trenton Ave, Severna Park, MD 21146-3908 | 2010-09-07 |
| 1356655716 | Mary Appleton Caldwell | Speech-Language Pathologist | 5654 Buckhorn Rd, Lewisville, NC 27023-9627 | 2010-07-28 |
| 1003956509 | Mary Mcfaden Caldwell | Family Medicine | 15000 Capital One Dr, 12078 Health Center, Richmond, VA 23238-1119 | 2007-02-07 |
| 1306475017 | Mary Caldwell | Student in an Organized Health Care Education/Training Program | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2020-04-04 |
| 1043791015 | Mary C Caldwell | Speech-Language Pathologist | 1407 Crozet Ave, Crozet, VA 22932-2722 | 2018-08-27 |
| 1285126441 | Mary Anna Caldwell | Physical Therapist | 3790 Pleasant Hill Rd Ste 100, Duluth, GA 30096-5143 | 2018-06-04 |
| 1053732867 | Mary Caldwell | Registered Nurse | 300 N Kentucky Ave, Roswell, NM 88201-4636 | 2013-12-20 |
| 1811333974 | Mary Howard Caldwell | Nurse Practitioner | 460 W 10th Ave, Columbus, OH 43210-1240 | 2013-05-16 |
| 1982966297 | Mary Caldwell | Specialist | 18 Broad Street, Johnson City, NY 13790 | 2012-06-12 |
| Street Address |
2496 NORTHWOODS DR. |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1043782899 | Brice Rivra | Military Health Care Provider | Rr 612 Loop Road, Jacsksonvile, NC 28540 | 2018-12-18 |
| 1649768599 | Alexander John Pybus | Student in an Organized Health Care Education/Training Program | White St Bldg As-100, Jacksonville, NC 28540 | 2018-04-26 |
| 1881198182 | Orleiquis Guerra | Military Health Care Provider | Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 | 2018-03-21 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1588183198 | Citizen Community Transport, LLC | Private Vehicle | 220 Foxwood Ct., Jacksonville, NC 28540 | 2017-09-14 |
| 1558886242 | Brandon Jay Smith | Military Health Care Provider | E Street Bldg G770, Camp Lejeune, NC 28540 | 2017-08-03 |
| 1174043244 | Jason Waters | Military Health Care Provider | White St, Bldg As-100, Jacksonville, NC 28540 | 2017-06-21 |
| 1003238734 | Erica Lynn Ann Reiter | Military Health Care Provider | 803 Oleander St, Jacksonville, NC 28540 | 2014-01-15 |
| Find all providers in zip 28540 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720519 | Ashley Harms | Counselor | 4070 Herschel St Ste 1, Jacksonville, FL 32210-2239 | 2020-11-03 |
| 1902418684 | Molly Ann Burkhardt | Counselor | 5776 Saint Augustine Rd # 8030, Jacksonville, FL 32207-8046 | 2020-08-23 |
| 1194335638 | Aiteria Green | Counselor | 9713 Bridgeway Ave, Jacksonville, FL 32222-2913 | 2020-08-07 |
| 1053920116 | Barbara Burden | Counselor | 209 N Carole Dr, Jacksonville, NC 28546-4845 | 2020-07-24 |
| 1790393973 | Kelley Holladay | Counselor | 1782 Plantation Oaks Dr, Jacksonville, FL 32223-5010 | 2020-07-14 |
| 1447877709 | Quendria Johnson-kerns | Counselor | 200 Zonnie Ln, Jacksonville, NC 28540-9729 | 2020-07-02 |
| 1467077164 | Shanna Horan | Counselor | 13500 Sutton Park Dr S Ste 702, Jacksonville, FL 32224-5290 | 2020-06-09 |
| 1720602527 | Shannon E Raikes | Counselor | 13990 Bartram Park Blvd Unit 209, Jacksonville, FL 32258-5543 | 2020-06-08 |
| 1750905253 | Kathlena N Reed | Counselor | 4131 University Blvd S Fl 32216, Jacksonville, FL 32216-4326 | 2020-06-01 |
| 1679195325 | Jill Aleta Wheeler | Counselor | 139 Half Moon Church Rd, Jacksonville, NC 28546-9223 | 2020-05-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28540 |
Please comment or provide details below to improve the information on MARY ANN CALDWELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.