Provider Demographics
NPI:1922657873
Name:CALADRIUS THERAPY, PLLC
Entity Type:Organization
Organization Name:CALADRIUS THERAPY, PLLC
Other - Org Name:CALADRIUS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:OGIENKO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:704-980-3082
Mailing Address - Street 1:700 EAST BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5156
Mailing Address - Country:US
Mailing Address - Phone:049-803-0827
Mailing Address - Fax:704-980-3082
Practice Address - Street 1:700 EAST BLVD STE 1
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5156
Practice Address - Country:US
Practice Address - Phone:049-803-0827
Practice Address - Fax:704-980-3082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-04
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty