Individual
RAINA W CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
277 HARDERS CROSSING BLVD, SHREVEPORT, LA 71106-8526
(318) 840-7810
Mailing address
277 HARDERS CROSSING BLVD, SHREVEPORT, LA 71106-8526
(318) 840-7810
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15474
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72-1307411
TAX ID
LA
Enumeration date
05/11/2016
Last updated
06/27/2026
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