| Doctor Name: | MR. JASON K CALDWELL |
| NPI Number: | 1427188523 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 3328 |
| Business Practice Address: | 4330 Maynardville Hwy Maynardville, TN - 378073618 |
| Business Phone Number: | 8659923849 |
| Business Fax Number: | 8659925166 |
| Mailing Address: | 6350 W A J Hwy, Department 100 TALBOTT |
| State: | TN |
| Postal Code: | 37877 |
| Phone Number: | 8003553565 |
| Fax Number: | 4237142355 |
| NPI Enumeration Date: | 03/07/2007 |
| NPI Last Update Date: | 10/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 3328 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |