=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972433282
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LISA MARIE CALDER LMSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/20/2026
-----------------------------------------------------
Last Update Date | 05/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 780 N CECIL RD STE 202
-----------------------------------------------------
City | POST FALLS
-----------------------------------------------------
State | ID
-----------------------------------------------------
Zip | 83854-8966
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 208-216-3351
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9169 W STATE ST STE 3125
-----------------------------------------------------
City | GARDEN CITY
-----------------------------------------------------
State | ID
-----------------------------------------------------
Zip | 83714-1733
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 208-216-3351
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 9421136
-----------------------------------------------------
License Number State | ID
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | SC70077843
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------