Provider Demographics
NPI:1588103576
Name:CALDERA, WILLIAM J JR (LMSW)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:J
Last Name:CALDERA
Suffix:JR
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-3117
Mailing Address - Country:US
Mailing Address - Phone:914-409-7100
Mailing Address - Fax:
Practice Address - Street 1:155 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-3117
Practice Address - Country:US
Practice Address - Phone:914-409-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-23
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY099545-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker