Provider Demographics
NPI:1962664185
Name:CALDWELL, PAULETTE D (MSW)
Entity Type:Individual
Prefix:MRS
First Name:PAULETTE
Middle Name:D
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-3238
Mailing Address - Country:US
Mailing Address - Phone:860-285-8821
Mailing Address - Fax:
Practice Address - Street 1:31 SUMMIT DR
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-3238
Practice Address - Country:US
Practice Address - Phone:860-285-8821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-29
Last Update Date:2008-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical