Healthcare Provider Details
I. General information
NPI: 1033054598
Provider Name (Legal Business Name): CALYRA HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14 RIDGE SQ NW
WASHINGTON DC
20016-2992
US
IV. Provider business mailing address
14 RIDGE SQ NW
WASHINGTON DC
20016-2992
US
V. Phone/Fax
- Phone: 801-683-9060
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CAROLYN
HOFFMANN
Title or Position: LMSW
Credential: LICSW
Phone: 801-683-9060