Provider Demographics
NPI:1669744561
Name:PATE, CALEB (LCSW, LCADC)
Entity type:Individual
Prefix:
First Name:CALEB
Middle Name:
Last Name:PATE
Suffix:
Gender:
Credentials:LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 SAINT REGIS DR
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40065-6317
Mailing Address - Country:US
Mailing Address - Phone:502-797-6503
Mailing Address - Fax:
Practice Address - Street 1:237 SAINT REGIS DR
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-6317
Practice Address - Country:US
Practice Address - Phone:502-797-6503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-08
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY164872101YA0400X
KY2601401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)