MR. MICAH JR CALDWELL MS LPCC LCPC NPI 1487994919

NPI Information

NPI: 1487994919
Provider Name: MR. MICAH JR CALDWELL, MS, LPCC, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3440 CLINTON AVE
BERWYN, IL
ZIP 60402
Phone: (708) 695-4841
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MR. Micah Jr Caldwell, MS, LPCC, LCPC is a professional counselor in Berwyn, IL. MR. Micah Jr Caldwell, MS, LPCC, LCPC NPI is 1487994919. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3440 CLINTON AVE
BERWYN, IL
ZIP 60402-322
Phone: (708) 695-4841

The enumeration date for this NPI number is 2/20/2013 and was last updated on 4/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor			CALIFORNIA	No
2	101Y00000X	Counselor			ILLINOIS	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	16627-130	WISCONSIN	No
4	101YP2500X	Counselor	Professional		CALIFORNIA	No
5	101YP2500X	Counselor	Professional	LPCC5913	CALIFORNIA	No
6	101YP2500X	Counselor	Professional	180.013357	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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