Provider Demographics
NPI:1841241650
Name:CALWELL, WILLIAM B (LCSW LMHC LMFT)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:B
Last Name:CALWELL
Suffix:
Gender:M
Credentials:LCSW LMHC LMFT
Other - Prefix:
Other - First Name:CHIP
Other - Middle Name:
Other - Last Name:CALWELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW LMHC LMFT
Mailing Address - Street 1:6570 N CARROLLTON AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220
Mailing Address - Country:US
Mailing Address - Phone:317-255-8051
Mailing Address - Fax:317-255-8935
Practice Address - Street 1:6570 N CARROLLTON AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220
Practice Address - Country:US
Practice Address - Phone:317-255-8051
Practice Address - Fax:317-255-8935
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35000033A106H00000X
IN34002410A1041C0700X
IN39000051A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000352550OtherBCBS