Provider Demographics
NPI:1043467939
Name:HILL-CALDWELL, VERNETTA M (TLMSW)
Entity Type:Individual
Prefix:MRS
First Name:VERNETTA
Middle Name:M
Last Name:HILL-CALDWELL
Suffix:
Gender:F
Credentials:TLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2637 N POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67219-4728
Mailing Address - Country:US
Mailing Address - Phone:316-253-3029
Mailing Address - Fax:
Practice Address - Street 1:2637 N POPLAR ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67219-4728
Practice Address - Country:US
Practice Address - Phone:316-253-3029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
222Q00000X
KST-LMSW 7828104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist