Individual
MS. LISA D. CALDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
650 10TH ST, IDAHO FALLS, ID 83404-5067
(208) 552-9174
(208) 552-9175
Mailing address
650 10TH ST, IDAHO FALLS, ID 83404-5067
(208) 552-9174
(208) 552-9175
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCSW-27801
ID
101YM0800X
Mental Health Counselor
Primary
LCSW-27801
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-27801
ID
Other
Enumeration date
04/03/2007
Last updated
04/17/2026
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