Provider Demographics
NPI:1750538179
Name:CALDARONE, RON LAWRENCE (LICSW)
Entity type:Individual
Prefix:MR
First Name:RON
Middle Name:LAWRENCE
Last Name:CALDARONE
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 BROOKVIEW DRIVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02921-1601
Mailing Address - Country:US
Mailing Address - Phone:401-943-0586
Mailing Address - Fax:
Practice Address - Street 1:24 BROOKVIEW DRIVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02921-1601
Practice Address - Country:US
Practice Address - Phone:401-943-0586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-27
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI00037104100000X, 251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No104100000XBehavioral Health & Social Service ProvidersSocial Worker