Provider Demographics
NPI:1588108047
Name:CALDWELL, YVETTE RENE (LMSW)
Entity type:Individual
Prefix:
First Name:YVETTE
Middle Name:RENE
Last Name:CALDWELL
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2923 MANCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:KIMBALL
Mailing Address - State:MI
Mailing Address - Zip Code:48074-1552
Mailing Address - Country:US
Mailing Address - Phone:810-385-4075
Mailing Address - Fax:
Practice Address - Street 1:2923 MANCHESTER DR
Practice Address - Street 2:
Practice Address - City:KIMBALL
Practice Address - State:MI
Practice Address - Zip Code:48074-1552
Practice Address - Country:US
Practice Address - Phone:810-385-4075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-16
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010884191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical