MR. ROBERT DAVID CALDWELL IV (NPI# 1780890582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780890582 |
| Entity Type | Individual |
| Full Name | MR. ROBERT DAVID CALDWELL IV |
| Credential | LICSW |
| Practice Address |
1984 Isaac Newton Sq W Ste 204 Reston VA 20190-5040 |
| Practice Telephone | 7038636140 |
| Mailing Telephone | 7038636140 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2015-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
090400280 | VA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LC302452 | DC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | MEDICARE PTAN | 766367ZBR9 G02714 | 01 |
| VA | MEDICARE PTAN | 766367ZBR9 G02714 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336499425 | Robert Caldwell | Counselor | 6000 E Reno Ave Apt 814, Midwest City, OK 73110-2011 | 2012-09-15 |
| 1578624417 | Robert Lee Caldwell | Dentist | 3052 Belmont St, Bellaire, OH 43906-1517 | 2006-12-13 |
| 1437165461 | Robert Caldwell II | Psychiatry & Neurology | 1125 Missoula Ave, Suite B, Helena, MT 59601-3801 | 2006-07-31 |
| 1437186509 | Robert Thomas Caldwell | Specialist | 724 Wisteria Dr, Barberton, OH 44203-4448 | 2006-06-26 |
| 1326014689 | Robert Edward Caldwell | Dentist | 8232 Us Highway 51 N, Millington, TN 38053-1708 | 2006-02-27 |
| 1508205667 | Robert Del Caldwell | Internal Medicine | 2800 Chicago Ave, Suite 201, Minneapolis, MN 55407-1318 | 2013-06-21 |
| 1508188285 | Robert L Caldwell | Surgery | 601 Elmwood Ave, Box Surg, Rochester, NY 14642-8410 | 2010-02-22 |
| 1568692069 | Robert Marting Caldwell | Pharmacist | 400 Soldier Creek Road, Pharmacy, Ihs Hospital, Rosebud, SD 57570-0400 | 2009-07-17 |
| 1013185073 | Robert Lee Caldwell | Marriage & Family Therapist | 13295 Illinois St, Suite 311, Carmel, IN 46032-3019 | 2008-02-13 |
| 1689853053 | Robert Caldwell | Orthotist | 430 Morton Plant St, Suite 301, Clearwater, FL 33756-3398 | 2007-11-01 |
| Street Address |
1984 ISAAC NEWTON SQ W STE 204 |
| City | RESTON |
| State | VA |
| Zip Code | 20190-5040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255512307 | Caldwell Psychotherapy Center, PC | Social Worker | 1984 Isaac Newton Sq W Ste 204, Reston, VA 20190-5040 | 2007-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700409075 | Alicea Ardito | Social Worker | 11611 Hunters Green Ct, Reston, VA 20191-3505 | 2020-05-21 |
| 1841822541 | Shayna Sargent | Social Worker | 1783 Jonathan Way Unit J, Reston, VA 20190-3515 | 2020-02-10 |
| 1912321647 | Catherine Cairo Patrick | Social Worker | 11594 Lake Newport Rd, Reston, VA 20194-1210 | 2014-02-17 |
| 1265770283 | Arlene Butler | Social Worker | 11910 Sloane Ct, Reston, VA 20191-2726 | 2013-01-25 |
| 1053615328 | Joshua Metz | Social Worker | 1108 Round Pebble Ln, Reston, VA 20194-1002 | 2010-12-30 |
| 1316142433 | Gabriela Marquez Canale | Social Worker | 11336 Orchard Ln, Reston, VA 20190-4430 | 2007-06-19 |
| 1457560542 | Elaine Marie Shaver | Social Worker | 11333 Sunset Hils Rd, Reston, VA 20190-5205 | 2007-05-22 |
| 1942412960 | Susan Holyoke Johnston | Social Worker | 11428 Waterview Cluster, Reston, VA 20190-4313 | 2007-05-03 |
| 1811016835 | Cynthia L Lowenthal | Social Worker | 11363 Sunset Hills Road, Reston, VA 20190-5205 | 2007-03-29 |
| 1548328131 | Laurie Ann Meyers | Social Worker | 11250 Roger Bacon Dr Ste 17, Reston, VA 20190-5202 | 2006-12-05 |
| Find all providers in RESTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.