Active NPI
Anne M. Callanan
- Clinical Social Worker
- Winfield, IL
National Provider Identifier
1043469604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.011068
- Practice address
- 27W 130 Roosevelt Rd.
Suite 203
Winfield, IL 60190-1643 - Phone
- (630) 588-8490
- NPI assigned
- Sep 18, 2008
- Last updated
- Sep 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.011068 | IL | Primary |
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149.011068 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Psychology Services P.C. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Winfield, IL
- NPI 1942485198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1043469604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2877 VAIL CT.",
"city": "LISLE",
"state": "IL",
"postal_code": "60532",
"telephone_number": "630-369-7543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27W 130 ROOSEVELT RD.",
"address_2": "SUITE 203",
"city": "WINFIELD",
"state": "IL",
"postal_code": "601901643",
"telephone_number": "630-588-8490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLANAN",
"first_name": "ANNE",
"middle_name": "M.",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-18",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.011068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.