Individual provider Active NPI

Robyn Marie Callahan, MSW, LICSW

  • Clinical Social Worker
  • Federal Way, WA
National Provider Identifier
1184055824
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60387906 Issued in WA
Practice address
1911 SW Campus Dr # 235
Federal Way, WA 98023-6473
Phone
(206) 739-3847
NPI assigned
Dec 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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 LW60387906 WA Primary

Addresses

Primary practice location

1911 SW Campus Dr # 235
Federal Way, WA 98023-6473

Mailing address

1911 SW Campus Dr # 235
Federal Way, WA 98023-6473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20140210001537 WA Practitioner - Clinical Social Worker 1052540218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seattle Neuropsychiatric Treatment Center PLLCGroup PAC ID 9335215995, 14 clinicians

Practice addresses (Care Compare)

805 Madison St
Suite 401
Seattle, WA 98104-1172
Phone (360) 491-8002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Neuropsychiatric Treatment Center, PLLC CurrentSince Jan 10, 2022 Accepting new patients

Locations

1450 114th Ave SE
Ste 110
Bellevue, WA 98004
Phone (206) 467-6300

805 Madison St
Ste 401
Seattle, WA 98104
Phone (206) 467-6300

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": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1184055824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 SW CAMPUS DR # 235",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980236473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 SW CAMPUS DR # 235",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980236473",
            "telephone_number": "206-739-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "ROBYN",
        "middle_name": "MARIE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60387906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.