Provider Demographics
NPI:1235315151
Name:CALDWELL, SARAH GARDNER (LCSW)
Entity type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:GARDNER
Last Name:CALDWELL
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 1:1630 CHIPPEWAY LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-3723
Mailing Address - Country:US
Mailing Address - Phone:512-633-3199
Mailing Address - Fax:512-243-7548
Practice Address - Street 1:1630 CHIPPEWAY LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-3723
Practice Address - Country:US
Practice Address - Phone:512-633-3199
Practice Address - Fax:512-243-7548
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX374561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical