John B Callahan, BSW, MPA, CCM
Individual provider Active NPI Case Manager/Care Coordinator · Carolina Beach, NC
NPI 1003061045 · NPPES record last updated Sep 5, 2018
Key facts
- NPI
- 1003061045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 4236690
- Practice address
- 100 Eighth St N
Carolina Beach, NC 28428 - Phone
- (910) 707-3821
- NPI assigned
- Nov 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Care Coordination, LLC | Case Manager/Care Coordinator | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Contractor | 171W00000X | |||
| Community Health Worker | 172V00000X | |||
| Case Manager/Care Coordinator | 171M00000X | 4236690 | Yes |
Addresses
Primary practice location
100 Eighth St N
Carolina Beach, NC 28428
Mailing address
PO Box 540
Carolina Beach, NC 28428-0540
Phone (910) 707-3821
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4236690 | Other | COMMISSION FOR CASE MANAGER CERTIFICATION |
Other providers in Carolina Beach, NC
- Halyn Blackburn
- Brandon Kent Farrell DDS PA II
- Damian Brezinski
- Paula Conaway Bruner
- Robert A Bucciere
- Carolina Beach Counseling, LLC
- Carolina Beach Physical Therapy
- Kaitlyn Leeann Carpenter
- Allison Carte
- Amanda Dixon Cerqueira
All providers in Carolina Beach, NC · Case Manager/Care Coordinator in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.