Provider Demographics
NPI:1639609662
Name:CALDWELL, JOSLYN SHANTE (LMSW-C)
Entity Type:Individual
Prefix:MRS
First Name:JOSLYN
Middle Name:SHANTE
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:LMSW-C
Other - Prefix:
Other - First Name:JOSLYN
Other - Middle Name:
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW-C
Mailing Address - Street 1:PO BOX 743
Mailing Address - Street 2:
Mailing Address - City:INKSTER
Mailing Address - State:MI
Mailing Address - Zip Code:48141-0743
Mailing Address - Country:US
Mailing Address - Phone:734-224-3889
Mailing Address - Fax:
Practice Address - Street 1:39111 6 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3926
Practice Address - Country:US
Practice Address - Phone:734-224-3889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011011561041C0700X
MI68011059901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical