Provider Demographics
NPI:1558148544
Name:CALDERONE, YVES (LMSW)
Entity Type:Individual
Prefix:
First Name:YVES
Middle Name:
Last Name:CALDERONE
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9771 LIPSEY CV
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38139-8076
Mailing Address - Country:US
Mailing Address - Phone:646-942-1130
Mailing Address - Fax:
Practice Address - Street 1:9771 LIPSEY CV
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38139-8076
Practice Address - Country:US
Practice Address - Phone:646-942-1130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY121133104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker