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NPI Code Detail

MEDICARE: HOLLY LEANNE ANDERSON-CALDWELL LCSW, CDC I

MEDICARE: HOLLY LEANNE ANDERSON-CALDWELL LCSW, CDC I
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
11041C0700XClinical Social WorkerLW61259040WA
21041C0700XClinical Social WorkerL7798OR
31041C0700XClinical Social Worker925AK

General Provider Information

NPI Number : 1740563113
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY LEANNE ANDERSON-CALDWELL LCSW, CDC I
Provider Business Mailing Address
First Line : 6000 NEW WAY
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-9382
Country : US
Telephone Number : 541-884-1841
Fax Number : 541-851-3988
Provider Business Practice Location Address
First Line : 6000 NEW WAY
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-9382
Country : US
Telephone Number : 541-884-1841
Fax Number : 541-851-3988
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2011
Last Update Date : 06/07/2026

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Directions to “ HOLLY LEANNE ANDERSON-CALDWELL LCSW, CDC I” Practice Location

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