Provider Demographics
NPI:1467699520
Name:CALDWELL, DELORIS ANN (LCSW)
Entity type:Individual
Prefix:MISS
First Name:DELORIS
Middle Name:ANN
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3310 SHALBOURNE LN
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-9094
Mailing Address - Country:US
Mailing Address - Phone:313-903-0924
Mailing Address - Fax:
Practice Address - Street 1:3310 SHALBOURNE LN
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-9094
Practice Address - Country:US
Practice Address - Phone:313-903-0924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-12
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040084211041C0700X
AR1893-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical