Provider Demographics
NPI:1265013320
Name:KALEDA, CAROLINE MERYLE (LMHC)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:MERYLE
Last Name:KALEDA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1708 SUMMERFIELD ST APT D4
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-8133
Mailing Address - Country:US
Mailing Address - Phone:646-713-4113
Mailing Address - Fax:
Practice Address - Street 1:286 MADISON AVE FL 22
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6368
Practice Address - Country:US
Practice Address - Phone:917-473-8869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012662101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health