Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kyle Calderon, LCSW

Individual provider Social Worker · NPI 1013531862

Kyle Calderon, LCSW is a Clinical Social Worker in New City, New York. Graduated from Fordham University School of Medicine in 2017, 9 years ago. Practices with Footprints Mental Health Counseling, PC, a 13-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Trained at
Fordham University School of Medicine
Licensed in
NY
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

19 Virginia St
New City, NY 10956-3022
Phone: (845) 304-0573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 102124 (NY)

Record details

NPI number1013531862
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 7, 2020
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022
Mailing address19 Virginia St, New City, NY 10956-3022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolFORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Footprints Mental Health Counseling, Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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