Healthcare Provider Details

I. General information

NPI: 1326761784
Provider Name (Legal Business Name): JOE CALDWELL MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2022
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

938 N CALIFORNIA AVE
CHICAGO IL
60622-4462
US

IV. Provider business mailing address

1170 N OGDEN ST APT 201
DENVER CO
80218-2890
US

V. Phone/Fax

Practice location:
  • Phone: 312-620-0408
  • Fax:
Mailing address:
  • Phone: 319-777-1774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: