Active NPIIndividual providerSole proprietor

Kathleen R Callahan, LICSW

Social Worker, Clinical in Jamaica Plain, Massachusetts

NPI Number1164730024
Practice location
52 Forbes St Apt 2, Jamaica Plain, MA 02130-1844
Fax
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Last updated
November 10, 2020

Kathleen Rose Callahan is a Social Worker, Clinical based in Jamaica Plain, MA. Kathleen Rose Callahan practices in Jamaica Plain, MA and has the professional credentials of LICSW. The NPI Number for Kathleen Rose Callahan is 1164730024 and holds a License No. 413621 (MA). The current practice location address for Kathleen Rose Callahan is 52 Forbes St Apt 2, Jamaica Plain, MA 02130-1844 and can be reached out via phone at 617-291-3334.

Provider Profile Details

NPI Number
1164730024
Provider Name
Kathleen Rose Callahan
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
52 Forbes St Apt 2, Jamaica Plain, MA 02130-1844
Phone Number
617-291-3334
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 14, 2010
Last Update Date
November 10, 2020
Certification Date
November 10, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
52 Forbes St Apt 2
Jamaica Plain, MA 02130-1844
Zip
02130-1844
Phone Number
617-291-3334
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
10 Corey St Apt 104
Melrose, MA 02176-4674
City
Melrose
State
MA
Zip
02176-4674
Phone Number
617-347-8210

License Information

License Number (1)
413621
License State (1)
MA
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
123128
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathleen R Callahan, LICSW?

The NPI number of Kathleen R Callahan, LICSW is 1164730024. It was assigned on September 14, 2010 and is currently active in the NPPES registry.

What is the specialty of Kathleen R Callahan, LICSW?

Kathleen R Callahan, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 413621.

Where does Kathleen R Callahan, LICSW practice?

The practice location is 52 Forbes St Apt 2, Jamaica Plain, MA 02130-1844. The office can be reached at 617-291-3334 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164730024 directly on the NPPES registry website.

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