MEDICARE: HOLLY CHRISTINE CALDERONE MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	134954	CA
2	104100000X	Social Worker
3	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1356539555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY CHRISTINE CALDERONE MSW

Provider Business Mailing Address
First Line	:	3215 FRANKLIN BLVD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95818-3902
Country	:	US
Telephone Number	:	916-749-9272
Fax Number	:

Provider Business Practice Location Address
First Line	:	3215 FRANKLIN BLVD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95818-3902
Country	:	US
Telephone Number	:	916-749-9272
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2007
Last Update Date	:	01/11/2026

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