Provider Demographics
NPI:1003508904
Name:CAULKER, JALIMA KULA (LCSW-C, LICSW, CCM)
Entity Type:Individual
Prefix:
First Name:JALIMA
Middle Name:KULA
Last Name:CAULKER
Suffix:
Gender:F
Credentials:LCSW-C, LICSW, CCM
Other - Prefix:
Other - First Name:JALIMA
Other - Middle Name:KULA
Other - Last Name:CAULKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW-C, LICSW, CCM
Mailing Address - Street 1:7401 NEW HAMPSHIRE AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-6947
Mailing Address - Country:US
Mailing Address - Phone:240-484-4121
Mailing Address - Fax:
Practice Address - Street 1:7401 NEW HAMPSHIRE AVE APT 202
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6947
Practice Address - Country:US
Practice Address - Phone:240-484-4121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD161581041C0700X
DCLC500804461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical