Carolyn Rita Callahan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R040727-1 Issued in NY

Practice address

496 Smithtown by Pass
Suite 304
Smithtown, NY 11745

Phone

(631) 793-6784

NPI assigned

Jan 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114084217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CLUBHOUSE DR",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117728202",
            "telephone_number": "631-363-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 SMITHTOWN BY PASS",
            "address_2": "SUITE 304",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11745",
            "telephone_number": "631-793-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "CAROLYN",
        "middle_name": "RITA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R040727-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaele Anne Cahill, LMSW
• Paul John Caiati, MD
• Joseph Calandrino, M.D.
• Torri Calcagno, MASTERS IN SPEC. ED.
• Christina Caliendo, OTR/L
• Marian V Callahan, L. AC
• Meryl A. Camer, LCSW
• Angela Rosaria Cammarata, LCSW-R
• Leona Wilhelmina Campbell Corbet, FNP
• Matthew Gibson Campbell, PHD

• Clinical Social Worker in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.