Provider Demographics
NPI:1154961688
Name:CALDERON, JAMILET (LMHC)
Entity type:Individual
Prefix:
First Name:JAMILET
Middle Name:
Last Name:CALDERON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13336 129TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:SOUTH OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11420-3306
Mailing Address - Country:US
Mailing Address - Phone:347-903-2744
Mailing Address - Fax:
Practice Address - Street 1:13336 129TH ST FL 2
Practice Address - Street 2:
Practice Address - City:SOUTH OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11420-3306
Practice Address - Country:US
Practice Address - Phone:347-903-2744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-13
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009578101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health