Provider Demographics
NPI:1205688777
Name:CALDERIN, ANNETTE (LPC)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:
Last Name:CALDERIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2047 STECHER AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-5307
Mailing Address - Country:US
Mailing Address - Phone:201-218-8966
Mailing Address - Fax:
Practice Address - Street 1:347 LINCOLN AVE E
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-6100
Practice Address - Country:US
Practice Address - Phone:201-218-8966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC01007900101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health