Provider Demographics
NPI:1598951428
Name:CALZADA, ELIZABETH (MSW, CASAC - T)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:CALZADA
Suffix:
Gender:F
Credentials:MSW, CASAC - T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2565 WESTERVELT AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-6121
Mailing Address - Country:US
Mailing Address - Phone:718-994-5602
Mailing Address - Fax:
Practice Address - Street 1:800 E GUN HILL RD
Practice Address - Street 2:RM 159H
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-6110
Practice Address - Country:US
Practice Address - Phone:718-944-5602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker