Mary Caritas Callahan, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

056639-1 Issued in NY

Practice address

953 Southern Blvd
Suite 301
Bronx, NY 10459-3428

Phone

(718) 860-2994

Fax

(718) 860-4479

NPI assigned

May 3, 2016

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Group practices

Odyssey House, IncGroup PAC ID 2264323393, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Odyssey House, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bronx, NY
  • NPI 1013976976
  Medicare reassignment Care Compare group NPD
• Odyssey House, Inc.

  • Community/Behavioral Health Agency
  • Bronx, NY
  • NPI 1811351307
  NPD (past) Authorized official
• Odyssey Health Services

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1922475235
  NPD (past)

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1164877643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 SOUTHERN BLVD",
            "address_2": "SUITE 301",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593428",
            "telephone_number": "718-860-2994",
            "fax_number": "718-860-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 SOUTHERN BLVD",
            "address_2": "SUITE 301",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593428",
            "telephone_number": "718-860-2994",
            "fax_number": "718-860-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "MARY",
        "middle_name": "CARITAS",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "056639-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehmet Levent Calikoglu, MD
• Renee A Calix, MSW
• Jacqueline Calka
• Lauri Ellen Calkins, PHD
• Ingrid Callaghan
• Christopher Callan
• Helana Callard, CNM
• Leslie Calle, PA
• Liliana Maria Calle, MHC-LP, CASAC
• Shannon M Calle

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, 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 May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.