Provider Demographics
NPI:1811325855
Name:CALDWELL, HILLARY (MSW)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:CALDWELL
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 1:3275 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-4409
Mailing Address - Country:US
Mailing Address - Phone:319-833-0072
Mailing Address - Fax:319-833-0073
Practice Address - Street 1:3275 W 4TH ST
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-4409
Practice Address - Country:US
Practice Address - Phone:319-833-0072
Practice Address - Fax:319-833-0073
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-30
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA008338104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker