Anne M. Callanan

Individual provider Active NPI Clinical Social Worker · Winfield, IL

NPI 1043469604 · NPPES record last updated Sep 18, 2008

Key facts

NPI
1043469604
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149.011068 (IL)
Practice address
27W 130 Roosevelt Rd.
Suite 203
Winfield, IL 60190-1643
Phone
(630) 588-8490
NPI assigned
Sep 18, 2008
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
149.011068ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Psychology Services P.C. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.011068 IL Yes

Addresses

Primary practice location

27W 130 Roosevelt Rd.
Suite 203
Winfield, IL 60190-1643

Mailing address

2877 Vail CT.
Lisle, IL 60532
Phone (630) 369-7543

Other providers in Winfield, IL

All providers in Winfield, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.