Provider Demographics
NPI:1932992914
Name:MCCALDEN, ERICA ROSE KETER (LCSW)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:ROSE KETER
Last Name:MCCALDEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2507 THOMAS AVE
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-4521
Mailing Address - Country:US
Mailing Address - Phone:970-692-4104
Mailing Address - Fax:970-692-4104
Practice Address - Street 1:2507 THOMAS AVE
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-4521
Practice Address - Country:US
Practice Address - Phone:970-692-4104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099251221041C0700X, 104100000X
CO001309891041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool