Individual
MS. JENNIFER CALDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
250 MAIN ST STE 101, MONTPELIER, VT 05602-4258
(802) 223-7364
Mailing address
250 MAIN ST STE 101, MONTPELIER, VT 05602-4258
(802) 223-7364
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0001109
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03036
CBA
VT
05
—
1013024
—
VT
01
—
4151125
MVP
VT
01
—
69558
BLUE CROSS BLUE SHIELD
VT
Enumeration date
01/10/2007
Last updated
10/18/2012
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