Provider Demographics
NPI:1104012335
Name:CALDERON, SIOUXSIE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:SIOUXSIE
Middle Name:
Last Name:CALDERON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:SUSY
Other - Middle Name:
Other - Last Name:BARRERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2130 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033-3958
Mailing Address - Country:US
Mailing Address - Phone:626-715-4444
Mailing Address - Fax:
Practice Address - Street 1:2130 E 1ST ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-3958
Practice Address - Country:US
Practice Address - Phone:626-715-4444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-21
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker