NPIMap

Individual provider Active NPI

Katia Bree Callan, MSW, LCSW-C

  • Clinical Social Worker
  • Lutherville, MD
National Provider Identifier
1033433131
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17923 Issued in MD
Practice address
1615 York Rd Ste 300
Lutherville, MD 21093-5639
Phone
(443) 470-9297
Fax
(800) 785-3951
NPI assigned
Mar 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 17923 MD Primary

Addresses

Primary practice location

1615 York Rd Ste 300
Lutherville, MD 21093-5639

Mailing address

1615 York Rd Ste 300
Lutherville, MD 21093-5639
Phone (443) 470-9297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17923MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Wellness of Maryland Clinical CurrentSince Oct 2, 2022 Accepting new patients

Locations

1615 York Rd
Ste 300
Lutherville Timonium, MD 21093
Phone (443) 470-9297

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1033433131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 YORK RD STE 300",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935639",
            "telephone_number": "443-470-9297",
            "fax_number": "800-785-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 YORK RD STE 300",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935639",
            "telephone_number": "443-470-9297",
            "fax_number": "800-785-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAN",
        "first_name": "KATIA",
        "middle_name": "BREE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.