Provider Demographics
NPI:1598448003
Name:CAIRNS-CALLEN, ELIZABETH VANDERLIP (MSW, LMSW)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:VANDERLIP
Last Name:CAIRNS-CALLEN
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 GREENFIELD CROSSING CT
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63021-7467
Mailing Address - Country:US
Mailing Address - Phone:573-529-9113
Mailing Address - Fax:
Practice Address - Street 1:1345 SMIZER MILL RD STE 1701A
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026-7305
Practice Address - Country:US
Practice Address - Phone:636-496-4030
Practice Address - Fax:636-496-4030
Is Sole Proprietor?:No
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023032323104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker