Provider Demographics
NPI:1528575271
Name:CALDWELL, KASIA MARIE (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:KASIA
Middle Name:MARIE
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6628 SKY POINTE DR STE 115
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-4071
Mailing Address - Country:US
Mailing Address - Phone:702-751-4378
Mailing Address - Fax:
Practice Address - Street 1:6628 SKY POINTE DR STE 115
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-4071
Practice Address - Country:US
Practice Address - Phone:702-751-4378
Practice Address - Fax:702-924-5865
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-03
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7661-S1041C0700X
UT6925313-35021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical