Provider Demographics
NPI:1669043717
Name:CALDERON, SESARIA (LMSW)
Entity Type:Individual
Prefix:
First Name:SESARIA
Middle Name:
Last Name:CALDERON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 PEACHTREE DR
Mailing Address - Street 2:
Mailing Address - City:HAYDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35079-4131
Mailing Address - Country:US
Mailing Address - Phone:205-767-1645
Mailing Address - Fax:
Practice Address - Street 1:106 1ST AVE W
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:AL
Practice Address - Zip Code:35121-1602
Practice Address - Country:US
Practice Address - Phone:205-274-7226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5117G1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical