Healthcare Provider Details

I. General information

NPI: 1114843752
Provider Name (Legal Business Name): NICOLE CHRISTINE CALDERONE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2026
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20574 LARINO LOOP
ESTERO FL
33928-6372
US

IV. Provider business mailing address

20574 LARINO LOOP
ESTERO FL
33928-6372
US

V. Phone/Fax

Practice location:
  • Phone: 516-765-6859
  • Fax:
Mailing address:
  • Phone: 516-765-6859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW26570
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: