Provider Demographics
NPI:1356539555
Name:CALDERONE, HOLLY CHRISTINE (MSW)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:CHRISTINE
Last Name:CALDERONE
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 1:3215 FRANKLIN BLVD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-3902
Mailing Address - Country:US
Mailing Address - Phone:916-749-9272
Mailing Address - Fax:
Practice Address - Street 1:3215 FRANKLIN BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95818-3902
Practice Address - Country:US
Practice Address - Phone:916-749-9272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-12
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No172V00000XOther Service ProvidersCommunity Health Worker