Provider Demographics
NPI:1245287481
Name:FOLADARE, SYLVIA CALDERON (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:CALDERON
Last Name:FOLADARE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:407 N CEDAR RIDGE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-3197
Mailing Address - Country:US
Mailing Address - Phone:972-709-4446
Mailing Address - Fax:972-296-1832
Practice Address - Street 1:407 N CEDAR RIDGE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-3197
Practice Address - Country:US
Practice Address - Phone:972-709-4446
Practice Address - Fax:972-296-1832
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX076811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000000S48POtherBLUE CROSS BLUE SHIELD
TX283132OtherVALUE OPTIONS
TX0004321831OtherAETNA
TX00S48PMedicare ID - Type Unspecified